RICHARD LEE SHOMO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003279

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

LEE

Last Name

SHOMO

Business Name

RICHARD LEE SHOMO

Original Issue Date

08/14/2008

Effective Date

08/14/2008

Expiration Date

03/01/2010

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

04/01/2010