DEANNA NOEL PLACKO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

INOPERATIVE

Business

First Name

DEANNA

Middle

NOEL

Last Name

PLACKO

Business Name

DEANNA NOEL PLACKO

Original Issue Date

10/14/2011

Effective Date

03/03/2014

Expiration Date

03/01/2016

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

03/03/2014