ERIN M TELIAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003643

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

TELIAN

Business Name

ERIN M TELIAN

Original Issue Date

10/14/2009

Effective Date

02/23/2010

Expiration Date

03/01/2012

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/28/2015