JODY LAND PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000657

License Status

NOT RENEWED

Business

First Name

JODY

Last Name

LAND

Suffix

PA-C

Business Name

JODY LAND PA-C

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/2004

City

LEMONT

State

Zip

60439

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006