DIANE MICHELE YATES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001693

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MICHELE

Last Name

YATES

Business Name

DIANE MICHELE YATES

Original Issue Date

11/07/2001

Effective Date

11/07/2001

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009