SISTER MAURA ROSARIO CARRASCO MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002585

License Status

NOT RENEWED

Business

Title

First Name

SISTER MAURA

Middle

ROSARIO

Last Name

CARRASCO

Business Name

SISTER MAURA ROSARIO CARRASCO MD

Original Issue Date

09/22/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/23/2010