JOLLY ABRAHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003011

License Status

NOT RENEWED

Business

First Name

JOLLY

Last Name

ABRAHAM

Business Name

JOLLY ABRAHAM

Original Issue Date

07/31/2007

Effective Date

03/11/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016