CARLA DAWN FRAZINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001144

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

DAWN

Last Name

FRAZINE

Business Name

CARLA DAWN FRAZINE

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006