DEANNA ELAINE CULLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002606

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

ELAINE

Last Name

CULLY

Business Name

DEANNA ELAINE CULLY

Original Issue Date

09/30/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010