MYRIAM D RIBOH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

MYRIAM

Middle

Last Name

RIBOH

Business Name

MYRIAM D RIBOH

Original Issue Date

10/04/2006

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018