MICHELE RAE FEDERICI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001547

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

RAE

Last Name

FEDERICI

Business Name

MICHELE RAE FEDERICI

Original Issue Date

01/10/2001

Effective Date

01/10/2001

Expiration Date

03/01/2008

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

04/23/2008