HOLLY CLAIRE MYERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004807

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

CLAIRE

Last Name

MYERS

Business Name

HOLLY CLAIRE MYERS

Original Issue Date

08/14/2013

Effective Date

08/14/2013

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014