LAURA ELIZABETH CONDON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ELIZABETH

Last Name

CONDON

Business Name

LAURA ELIZABETH CONDON

Original Issue Date

11/21/2001

Effective Date

11/21/2001

Expiration Date

03/01/2006

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006