BETH ANNE PADIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002698

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANNE

Last Name

PADIN

Business Name

BETH ANNE PADIN

Original Issue Date

03/21/2006

Effective Date

03/03/2010

Expiration Date

03/01/2012

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2012