ANN MARIE HARTMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001087

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MARIE

Last Name

HARTMAN

Business Name

ANN MARIE HARTMAN

Original Issue Date

09/02/1998

Effective Date

09/02/1998

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006