Petria Laura Idita
ExpiredIllinois license 085009596
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085009596
- Status
- Expired (Not Renewed)
- First issued
- March 22, 2023
- Expired
- March 1, 2024
- License holder
- Petria Laura Idita
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 03/22/2023
Contact
Chicago, IL 60611
Adams County