MICHAEL J MCCORMICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003374

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MCCORMICK

Business Name

MICHAEL J MCCORMICK

Original Issue Date

10/24/2008

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2018