MELISSA B LIST
Physician Assistant Controlled Substance(Delegated Schedules )
Illinois 385001361 Inoperative
This Illinois license was held by MELISSA B LIST. The license is no longer active. It was granted on 09/01/2005 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385001361
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules )
- Status: Inoperative
- Date Granted: 09/01/2005 (over 19 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Chicago, IL 60614-2420