GRAZYNA M THOMAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002424

License Status

NOT RENEWED

Business

First Name

GRAZYNA

Middle

Last Name

THOMAS

Business Name

GRAZYNA M THOMAS

Original Issue Date

12/02/2004

Effective Date

07/22/2008

Expiration Date

03/01/2010

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/01/2010