EMILY CLAIRE EITEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004818

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

CLAIRE

Last Name

EITEN

Business Name

EMILY CLAIRE EITEN

Original Issue Date

09/12/2013

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/10/2018