DAVID A DURHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000138

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

DURHAM

Business Name

DAVID A DURHAM

Original Issue Date

04/14/1977

Effective Date

04/14/1977

Expiration Date

04/14/1979

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006