TIRZAH RUTH WEBER 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

TIRZAH

Middle

RUTH

Last Name

WEBER

Business Name

TIRZAH RUTH WEBER

Original Issue Date

12/17/2001

Effective Date

12/17/2001

Expiration Date

03/01/2004

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006