ANNA MARGARET UNDERWOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005555

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MARGARET

Last Name

UNDERWOOD

Business Name

ANNA MARGARET UNDERWOOD

Original Issue Date

07/15/2015

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018