ETEL ZEVELEVA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001355

License Status

NOT RENEWED

Business

First Name

ETEL

Last Name

ZEVELEVA

Business Name

ETEL ZEVELEVA

Original Issue Date

02/10/2000

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

12/27/2010