SUZANNE MARY OKOLITA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MARY

Last Name

OKOLITA

Business Name

SUZANNE MARY OKOLITA

Original Issue Date

07/17/2006

Effective Date

07/17/2006

Expiration Date

03/01/2008

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006