ELYSE J PASSWELLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000066

License Status

NOT RENEWED

Business

First Name

ELYSE J

Last Name

PASSWELLO

Business Name

ELYSE J PASSWELLO

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006