RACHAEL MICHELLE THOMAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

RACHAEL

Middle

MICHELLE

Last Name

THOMAS

Business Name

RACHAEL MICHELLE THOMAS

Original Issue Date

08/04/2014

Effective Date

08/04/2014

Expiration Date

03/01/2016

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016