DANIELLE NICOLE SLUPSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003135

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

NICOLE

Last Name

SLUPSKI

Business Name

DANIELLE NICOLE SLUPSKI

Original Issue Date

10/26/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2010