GEORGEANN MARIE DUBERSTEIN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001776

License Status

INACTIVE

Business

First Name

GEORGEANN

Middle

MARIE

Last Name

DUBERSTEIN

Business Name

GEORGEANN MARIE DUBERSTEIN

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/01/2006

City

HAINESVILLE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006