RENE' A FERNETTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000658

License Status

NOT RENEWED

Business

First Name

RENE' A

Last Name

FERNETTE

Business Name

RENE' A FERNETTE

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006