MORTON G KRAKOW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000587

License Status

NOT RENEWED

Business

First Name

MORTON

Middle

Last Name

KRAKOW

Business Name

MORTON G KRAKOW

Original Issue Date

02/01/1994

Effective Date

01/14/2010

Expiration Date

03/01/2012

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012