THERESA YOUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

YOUNG

Business Name

THERESA YOUNG

Original Issue Date

08/18/2003

Effective Date

08/18/2003

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006