NATHAN A DE WITT

Physician Assistant Controlled Substance(Delegated Schedules )

Illinois  385001259   Inoperative

This Illinois license was held by NATHAN A DE WITT. The license is no longer active. It was granted on 02/08/2005 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 385001259
  • Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules )
  • Status: Inoperative
  • Date Granted: 02/08/2005 (over 21 years ago)
  • Expiry Date: 03/01/2016 (over 10 years ago)

LOCATIONS

A Address

Pittsfield, IL 62363-1308