ANN MARIE CHILDRESS PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001233

License Status

INACTIVE

Business

First Name

ANN

Middle

MARIE

Last Name

CHILDRESS

Suffix

PA-C

Business Name

ANN MARIE CHILDRESS PA-C

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

03/01/2002

City

DUNDEE

State

Zip

60118

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006