PATRICK RAYMOND DECOMMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000232

License Status

NOT RENEWED

Business

First Name

PATRICK RAYMOND

Last Name

DECOMMER

Business Name

PATRICK RAYMOND DECOMMER

Original Issue Date

05/20/1982

Effective Date

05/20/1982

Expiration Date

05/20/1984

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006