MICHAEL L WARREN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000369

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

WARREN

Business Name

MICHAEL L WARREN

Original Issue Date

09/22/1988

Effective Date

09/22/1988

Expiration Date

03/01/1992

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006