RHONDA JENNIFER TIESZEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

RHONDA

Middle

JENNIFER

Last Name

TIESZEN

Business Name

RHONDA JENNIFER TIESZEN

Original Issue Date

01/13/2005

Effective Date

01/13/2005

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006