REBECCA M URIBE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005277

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

URIBE

Business Name

REBECCA M URIBE

Original Issue Date

09/30/2014

Effective Date

09/30/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016