ELLEN N DAGGETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000697

License Status

NOT RENEWED

Business

First Name

ELLEN N

Last Name

DAGGETT

Business Name

ELLEN N DAGGETT

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

03/01/2000

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006