RACHEL C FIDDYMENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002628

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

Last Name

FIDDYMENT

Business Name

RACHEL C FIDDYMENT

Original Issue Date

10/19/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

AURORA

State

Zip

60502

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/01/2010