SHARLENA AMINTA PANICCIA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001722

License Status

NOT RENEWED

Business

First Name

SHARLENA

Middle

AMINTA

Last Name

PANICCIA

Business Name

SHARLENA AMINTA PANICCIA

Original Issue Date

11/21/2001

Effective Date

11/21/2001

Expiration Date

03/01/2002

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006