ELISABETH ANNE WHITE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003062

License Status

NOT RENEWED

Business

First Name

ELISABETH

Middle

ANNE

Last Name

WHITE

Business Name

ELISABETH ANNE WHITE

Original Issue Date

09/20/2007

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

12/02/2015