DANIELLE NICOLE SLUPSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

NICOLE

Last Name

SLUPSKI

Business Name

DANIELLE NICOLE SLUPSKI

Original Issue Date

12/06/2007

Effective Date

12/06/2007

Expiration Date

03/01/2010

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

12/23/2010