EMILY MARIE MAINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005658

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

MARIE

Last Name

MAINE

Business Name

EMILY MARIE MAINE

Original Issue Date

09/22/2015

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022