TIMOTHY R TIMM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000653

License Status

NOT RENEWED

Business

First Name

TIMOTHY R

Last Name

TIMM

Business Name

TIMOTHY R TIMM

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/1996

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006