TERRA LACHELLE BABCOCK - Physician Assistant License in Illinois | # 085002881

TERRA LACHELLE BABCOCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002881

License Status

NOT RENEWED

Business

N

First Name

TERRA

Middle

LACHELLE

Last Name

BABCOCK

Business Name

TERRA LACHELLE BABCOCK

Original Issue Date

11/02/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2010