BECKY LYNN JARACZ KOHL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001694

License Status

NOT RENEWED

Business

First Name

BECKY

Middle

LYNN JARACZ

Last Name

KOHL

Business Name

BECKY LYNN JARACZ KOHL

Original Issue Date

11/08/2001

Effective Date

11/08/2001

Expiration Date

03/01/2006

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006