ROBERTA ELLEN FRICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000103

License Status

NOT RENEWED

Business

First Name

ROBERTA ELLEN

Last Name

FRICK

Business Name

ROBERTA ELLEN FRICK

Original Issue Date

01/25/1977

Effective Date

01/25/1977

Expiration Date

01/25/1979

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006