AMY L NOLL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000648

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

NOLL

Business Name

AMY L NOLL

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006