RENEE' R THORMAN PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001037

License Status

INACTIVE

Business

First Name

RENEE'

Middle

Last Name

THORMAN

Suffix

PA-C

Business Name

RENEE' R THORMAN PA-C

Original Issue Date

03/16/1998

Effective Date

03/16/1998

Expiration Date

03/01/2004

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006