CONSTANCE LYNN HANNINEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003726

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

LYNN

Last Name

HANNINEN

Business Name

CONSTANCE LYNN HANNINEN

Original Issue Date

04/26/2010

Effective Date

10/09/2020

Expiration Date

03/01/2022

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022