CONSTANCE LYNN HANNINEN - Physician Assistant License in Illinois | # 085003726

CONSTANCE LYNN HANNINEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003726

License Status

NOT RENEWED

Business

N

First Name

CONSTANCE

Middle

LYNN

Last Name

HANNINEN

Business Name

CONSTANCE LYNN HANNINEN

Original Issue Date

04/26/2010

Effective Date

10/09/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022