MONICA RENEE HARTUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001871

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

RENEE

Last Name

HARTUNG

Business Name

MONICA RENEE HARTUNG

Original Issue Date

09/24/2002

Effective Date

09/24/2002

Expiration Date

03/01/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006