ANN MARIE CHILDRESS PA-C - Physician Assistant License in Illinois | # 085001233

ANN MARIE CHILDRESS PA-C

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001233

License Status

INACTIVE

Business

N

First Name

ANN

Middle

MARIE

Last Name

CHILDRESS

Suffix

PA-C

Business Name

ANN MARIE CHILDRESS PA-C

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

03/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006