JEAN M MAUNDER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000177

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

MAUNDER

Business Name

JEAN M MAUNDER

Original Issue Date

03/10/1978

Effective Date

03/10/1978

Expiration Date

03/10/1980

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006