ELEANOR N HARWARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005809

License Status

NOT RENEWED

Business

First Name

ELEANOR

Middle

Last Name

HARWARD

Business Name

ELEANOR N HARWARD

Original Issue Date

04/14/2016

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

JOLIET

State

Zip

60435

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022