RHONDA LOU COLVIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

RHONDA

Middle

LOU

Last Name

COLVIN

Business Name

RHONDA LOU COLVIN

Original Issue Date

08/26/2010

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014