LINDA MARIE FALLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000187

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

MARIE

Last Name

FALLER

Business Name

LINDA MARIE FALLER

Original Issue Date

12/19/1980

Effective Date

02/04/2020

Expiration Date

03/01/2022

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022