AUBRI S VENERUSO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003101

License Status

NOT RENEWED

Business

First Name

AUBRI

Middle

Last Name

VENERUSO

Business Name

AUBRI S VENERUSO

Original Issue Date

10/11/2007

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018