COLLEEN CONTRI LANGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001451

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

CONTRI

Last Name

LANGER

Business Name

COLLEEN CONTRI LANGER

Original Issue Date

11/03/2000

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022