Maryellen Iacovacci Blevins
ExpiredIllinois license 085009743
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085009743
- Status
- Expired (Not Renewed)
- First issued
- June 28, 2023
- Expired
- March 1, 2024
- License holder
- Maryellen Iacovacci Blevins
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 06/28/2023
Contact
Ellicottville, NY 14731