COREY JOHN RICHARDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000676

License Status

NOT RENEWED

Business

First Name

COREY JOHN

Last Name

RICHARDSON

Business Name

COREY JOHN RICHARDSON

Original Issue Date

03/06/1995

Effective Date

03/06/1995

Expiration Date

03/01/1996

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006