THOMAS R PRIESKORN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000942

License Status

INACTIVE

Business

First Name

THOMAS R

Last Name

PRIESKORN

Business Name

THOMAS R PRIESKORN

Original Issue Date

09/05/1997

Effective Date

09/05/1997

Expiration Date

03/01/2000

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006