REID SENESAC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008123

License Status

NOT RENEWED

Business

First Name

REID

Last Name

SENESAC

Business Name

REID SENESAC

Original Issue Date

01/06/2021

Effective Date

01/06/2021

Expiration Date

03/01/2022

City

NEW LENOX

State

Zip

60451

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022