ROBIN RENAE TUDOR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003307

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

RENAE

Last Name

TUDOR

Business Name

ROBIN RENAE TUDOR

Original Issue Date

09/15/2008

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012