ERICA LYNN BECKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

LYNN

Last Name

BECKER

Business Name

ERICA LYNN BECKER

Original Issue Date

10/17/2008

Effective Date

02/23/2010

Expiration Date

03/01/2012

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012