REBECCA M URIBE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

URIBE

Business Name

REBECCA M URIBE

Original Issue Date

12/18/2014

Effective Date

12/18/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016