NEENA M MUTHYALA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001868

License Status

NOT RENEWED

Business

First Name

NEENA

Middle

Last Name

MUTHYALA

Business Name

NEENA M MUTHYALA

Original Issue Date

09/13/2002

Effective Date

09/13/2002

Expiration Date

03/01/2008

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2009