KELLY ANN LUEDERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

LUEDERS

Business Name

KELLY ANN LUEDERS

Original Issue Date

01/29/2007

Effective Date

01/29/2007

Expiration Date

03/01/2008

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/14/2007