LAURA ANN PERRINO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

INOPERATIVE

Business

First Name

LAURA

Middle

ANN

Last Name

PERRINO

Business Name

LAURA ANN PERRINO

Original Issue Date

04/09/2015

Effective Date

01/21/2016

Expiration Date

03/01/2018

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2018