ROSA L HART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000035

License Status

NOT RENEWED

Business

First Name

ROSA L

Last Name

HART

Business Name

ROSA L HART

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006