ERIN M TELIAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

TELIAN

Business Name

ERIN M TELIAN

Original Issue Date

12/22/2009

Effective Date

12/22/2009

Expiration Date

03/01/2012

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/28/2015