JULIE MARIE WEST Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002976

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

MARIE

Last Name

WEST

Business Name

JULIE MARIE WEST

Original Issue Date

06/26/2007

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016