MICHAEL PAUL LAROSA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000112

License Status

NOT RENEWED

Business

First Name

MICHAEL PAUL

Last Name

LAROSA

Business Name

MICHAEL PAUL LAROSA

Original Issue Date

01/26/1981

Effective Date

01/26/1981

Expiration Date

03/01/1990

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1986000134

Action

Suspension

Discipline Start Date

07/11/1990

Discipline Reason

Pleaded guilty to two counts of burglary and obtained his license by fraud.