FLORENCE EBERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000024

License Status

NOT RENEWED

Business

First Name

FLORENCE

Last Name

EBERT

Business Name

FLORENCE EBERT

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006