ELISE JANELLE PICCIONE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005126

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

JANELLE

Last Name

PICCIONE

Business Name

ELISE JANELLE PICCIONE

Original Issue Date

08/06/2014

Effective Date

08/06/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016