KELLEY ELIZABETH FARNSWORTH PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000968

License Status

NOT RENEWED

Business

First Name

KELLEY ELIZABETH

Last Name

FARNSWORTH

Suffix

PA-C

Business Name

KELLEY ELIZABETH FARNSWORTH PA-C

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

03/01/2000

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006