JANICE M PETERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000067

License Status

NOT RENEWED

Business

First Name

JANICE M

Last Name

PETERSON

Business Name

JANICE M PETERSON

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1982

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006