RANDI MARIE DODD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001401

License Status

NOT RENEWED

Business

First Name

RANDI

Middle

MARIE

Last Name

DODD

Business Name

RANDI MARIE DODD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

03/01/2002

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006