THERESA YOUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001764

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

YOUNG

Business Name

THERESA YOUNG

Original Issue Date

02/15/2002

Effective Date

08/25/2008

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010