ETEL ZEVELEVA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

ETEL

Last Name

ZEVELEVA

Business Name

ETEL ZEVELEVA

Original Issue Date

04/12/2002

Effective Date

04/09/2009

Expiration Date

03/01/2010

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

12/27/2010