NOREEN TRESA JACK-MOONEY PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001378

License Status

NOT RENEWED

Business

First Name

NOREEN

Middle

TRESA

Last Name

JACK-MOONEY

Suffix

PA-C

Business Name

NOREEN TRESA JACK-MOONEY PA-C

Original Issue Date

04/25/2000

Effective Date

04/25/2000

Expiration Date

03/01/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/19/2015