ALLISON W PETERSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003537

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

PETERSEN

Business Name

ALLISON W PETERSEN

Original Issue Date

08/12/2009

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016