TATUM ADAMS BROOKS PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001718

License Status

NOT RENEWED

Business

First Name

TATUM

Middle

ADAMS

Last Name

BROOKS

Suffix

PA-C

Business Name

TATUM ADAMS BROOKS PA-C

Original Issue Date

11/20/2001

Effective Date

11/20/2001

Expiration Date

03/01/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006