BETH A HACH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000540

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

HACH

Business Name

BETH A HACH

Original Issue Date

07/07/1993

Effective Date

07/07/1993

Expiration Date

03/01/2008

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009