COREY JOHN RICHARDSON - Physician Assistant License in Illinois | # 085000676

COREY JOHN RICHARDSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000676

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006