EMILY BECKER PEVTSOV Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005271

License Status

INACTIVE

Business

First Name

EMILY

Middle

BECKER

Last Name

PEVTSOV

Business Name

EMILY BECKER PEVTSOV

Original Issue Date

09/30/2014

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018