ALLISON W PETERSEN - Physician Assistant License in Illinois | # 085003537

ALLISON W PETERSEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003537

License Status

NOT RENEWED

Business

N

First Name

ALLISON

Middle

W

Last Name

PETERSEN

Business Name

ALLISON W PETERSEN

Original Issue Date

08/12/2009

Effective Date

01/28/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016