ELIZABETH DORVAL CUNNINGHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000100

License Status

NOT RENEWED

Business

First Name

ELIZABETH DORVAL

Last Name

CUNNINGHAM

Business Name

ELIZABETH DORVAL CUNNINGHAM

Original Issue Date

01/25/1981

Effective Date

01/25/1981

Expiration Date

01/25/1983

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006