ANGELA P URBAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

URBAN

Business Name

ANGELA P URBAN

Original Issue Date

12/10/2007

Effective Date

12/10/2007

Expiration Date

03/01/2010

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/27/2010