PAULINE A FEDUNOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

NOT RENEWED

Business

First Name

PAULINE

Middle

Last Name

FEDUNOK

Business Name

PAULINE A FEDUNOK

Original Issue Date

06/17/2003

Effective Date

02/23/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014