HEATHER ROSE VAN DUYS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004778

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ROSE

Last Name

VAN DUYS

Business Name

HEATHER ROSE VAN DUYS

Original Issue Date

07/25/2013

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO,

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018