CHRISTINE MARIE FOLLOWILL Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

CANCELLED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

FOLLOWILL

Business Name

CHRISTINE MARIE FOLLOWILL

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

03/01/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/26/2006