TERRY GAIL ROMANA Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002710

License Status

INACTIVE

Business

First Name

TERRY

Middle

GAIL

Last Name

ROMANA

Business Name

TERRY GAIL ROMANA

Original Issue Date

04/27/2006

Effective Date

03/01/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2011