CORRI LEA EVANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

NOT RENEWED

Business

First Name

CORRI

Middle

LEA

Last Name

EVANS

Business Name

CORRI LEA EVANS

Original Issue Date

04/17/2006

Effective Date

04/17/2006

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2010