MORTON G KRAKOW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

NOT RENEWED

Business

First Name

MORTON

Middle

Last Name

KRAKOW

Business Name

MORTON G KRAKOW

Original Issue Date

01/26/2001

Effective Date

01/14/2010

Expiration Date

03/01/2012

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012