THERESE ROSE LEA CROWE - Physician Assistant License in Illinois | # 085000050

THERESE ROSE LEA CROWE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000050

License Status

NOT RENEWED

Business

N

First Name

THERESE ROSE LEA

Last Name

CROWE

Business Name

THERESE ROSE LEA CROWE

Original Issue Date

11/05/1978

Effective Date

11/05/1978

Expiration Date

11/05/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006