COLLEEN E LAVOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005287

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

LAVOY

Business Name

COLLEEN E LAVOY

Original Issue Date

10/03/2014

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022