TATUM ADAMS BROOKS PA-C - Physician Assistant License in Illinois | # 085001718

TATUM ADAMS BROOKS PA-C

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001718

License Status

NOT RENEWED

Business

N

First Name

TATUM

Middle

ADAMS

Last Name

BROOKS

Suffix

PA-C

Business Name

TATUM ADAMS BROOKS PA-C

Original Issue Date

11/20/2001

Effective Date

11/20/2001

Expiration Date

03/01/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006