PATRICIA ANN GRAHAM Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001521

License Status

CANCELLED

Business

First Name

PATRICIA

Middle

ANN

Last Name

GRAHAM

Business Name

PATRICIA ANN GRAHAM

Original Issue Date

12/12/2000

Effective Date

01/14/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2010