LANAE C RICHARDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001001

License Status

NOT RENEWED

Business

First Name

LANAE

Middle

Last Name

RICHARDSON

Business Name

LANAE C RICHARDSON

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/01/2002

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006