THERESE ROSE LEA CROWE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000050

License Status

NOT RENEWED

Business

First Name

THERESE ROSE LEA

Last Name

CROWE

Business Name

THERESE ROSE LEA CROWE

Original Issue Date

11/05/1978

Effective Date

11/05/1978

Expiration Date

11/05/1984

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006