LAURA ANN PERRINO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005321

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

PERRINO

Business Name

LAURA ANN PERRINO

Original Issue Date

10/16/2014

Effective Date

03/04/2016

Expiration Date

03/01/2018

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/10/2018