ADRIANNA KATHLEEN DENAULT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006733

License Status

NOT RENEWED

Business

First Name

ADRIANNA

Middle

KATHLEEN

Last Name

DENAULT

Business Name

ADRIANNA KATHLEEN DENAULT

Original Issue Date

08/28/2018

Effective Date

08/28/2018

Expiration Date

03/01/2020

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/24/2020