PAULINE A FEDUNOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001926

License Status

NOT RENEWED

Business

First Name

PAULINE

Middle

Last Name

FEDUNOK

Business Name

PAULINE A FEDUNOK

Original Issue Date

10/31/2002

Effective Date

02/23/2012

Expiration Date

03/01/2014

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014