NICOLE SPRUANCE FURNO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003503

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SPRUANCE

Last Name

FURNO

Business Name

NICOLE SPRUANCE FURNO

Original Issue Date

07/10/2009

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018