ELEANOR N HARWARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

ELEANOR

Middle

Last Name

HARWARD

Business Name

ELEANOR N HARWARD

Original Issue Date

06/29/2016

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022