BONNIE JANE GIACCHETTI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001380

License Status

NOT RENEWED

Business

First Name

BONNIE

Middle

JANE

Last Name

GIACCHETTI

Business Name

BONNIE JANE GIACCHETTI

Original Issue Date

05/09/2000

Effective Date

05/09/2000

Expiration Date

03/01/2002

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006