JEANNE R COVENTRY PA-C - Physician Assistant License in Illinois | # 085001264

JEANNE R COVENTRY PA-C

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001264

License Status

NOT RENEWED

Business

N

First Name

JEANNE

Middle

R

Last Name

COVENTRY

Suffix

PA-C

Business Name

JEANNE R COVENTRY PA-C

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006