ABIGAIL CAMPBELL DRAKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002790

License Status

NOT RENEWED

Business

First Name

ABIGAIL

Middle

CAMPBELL

Last Name

DRAKE

Business Name

ABIGAIL CAMPBELL DRAKE

Original Issue Date

08/18/2006

Effective Date

09/24/2010

Expiration Date

03/01/2012

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012