JAMES J CORLESS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000015

License Status

NOT RENEWED

Business

First Name

JAMES J

Last Name

CORLESS

Business Name

JAMES J CORLESS

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

11/05/1978

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006