DOROTHY M POLL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000118

License Status

NOT RENEWED

Business

First Name

DOROTHY M

Last Name

POLL

Business Name

DOROTHY M POLL

Original Issue Date

01/25/1977

Effective Date

01/25/1977

Expiration Date

01/25/1985

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

09/26/2006