CAROLYN ROSE PUGH - Physician Assistant License in Illinois | # 085002156

CAROLYN ROSE PUGH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002156

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

ROSE

Last Name

PUGH

Business Name

CAROLYN ROSE PUGH

Original Issue Date

10/27/2003

Effective Date

02/21/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020