MICHAELA E RICKERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005079

License Status

NOT RENEWED

Business

First Name

MICHAELA

Middle

Last Name

RICKERT

Business Name

MICHAELA E RICKERT

Original Issue Date

07/16/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/24/2020