ELLEN M BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001099

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

BROWN

Business Name

ELLEN M BROWN

Original Issue Date

12/17/1998

Effective Date

03/02/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2014