MONICA RENEE HARTUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

RENEE

Last Name

HARTUNG

Business Name

MONICA RENEE HARTUNG

Original Issue Date

11/21/2002

Effective Date

11/21/2002

Expiration Date

03/01/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006