LAURA J HILLIS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001237

License Status

INACTIVE

Business

First Name

LAURA J

Last Name

HILLIS

Business Name

LAURA J HILLIS

Original Issue Date

09/13/1999

Effective Date

09/13/1999

Expiration Date

03/01/2004

City

GREENFIELD

State

Zip

62044

County

GREENE

Ever Disciplined

LastModifiedDate

10/09/2006