MARY D CORNELIUS MONTERUBIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000257

License Status

NOT RENEWED

Business

First Name

MARY D CORNELIUS

Last Name

MONTERUBIO

Business Name

MARY D CORNELIUS MONTERUBIO

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

03/01/1986

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006