BARBARA LYNN PETERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000264

License Status

NOT RENEWED

Business

First Name

BARBARA LYNN

Last Name

PETERSON

Business Name

BARBARA LYNN PETERSON

Original Issue Date

02/21/1984

Effective Date

02/21/1984

Expiration Date

03/01/1992

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006