LAURA ELIZABETH CONDON - Physician Assistant License in Illinois | # 085001636

LAURA ELIZABETH CONDON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001636

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

ELIZABETH

Last Name

CONDON

Business Name

LAURA ELIZABETH CONDON

Original Issue Date

10/04/2001

Effective Date

10/04/2001

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006