MARY DENTON LUNSFORD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001092

License Status

INACTIVE

Business

First Name

MARY

Middle

DENTON

Last Name

LUNSFORD

Business Name

MARY DENTON LUNSFORD

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

03/01/2000

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006