LAQUITA C EDWARDS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005371

License Status

NOT RENEWED

Business

First Name

LAQUITA

Middle

Last Name

EDWARDS

Business Name

LAQUITA C EDWARDS

Original Issue Date

12/26/2014

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020