MARYBETH BOLANOWSKI
Physician Assistants - Physician Assistant
Iowa 001174 Inactive
This Iowa license was held by MARYBETH BOLANOWSKI. The license is no longer active. It was granted on 07/27/1998 and expired on 09/30/2003
LICENSE DETAILS
- License Number: 001174
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 07/27/1998 (almost 27 years ago)
- Expiry Date: 09/30/2003 (over 21 years ago)
LOCATIONS
A Address
1519 DARIEN LAKE DR. DARIEN IL 60561