JANELLE MARIE REKLAU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002363

License Status

NOT RENEWED

Business

First Name

JANELLE

Middle

MARIE

Last Name

REKLAU

Business Name

JANELLE MARIE REKLAU

Original Issue Date

09/30/2004

Effective Date

09/30/2004

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008