ANDREA GAIL FURLONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004541

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

GAIL

Last Name

FURLONG

Business Name

ANDREA GAIL FURLONG

Original Issue Date

10/30/2012

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/10/2018