JOHN PATRICK MONTGOMERY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000116

License Status

NOT RENEWED

Business

First Name

JOHN PATRICK

Last Name

MONTGOMERY

Business Name

JOHN PATRICK MONTGOMERY

Original Issue Date

01/25/1981

Effective Date

01/25/1981

Expiration Date

01/25/1983

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006