MARICLARE BARRETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

NOT RENEWED

Business

First Name

MARICLARE

Last Name

BARRETT

Business Name

MARICLARE BARRETT

Original Issue Date

12/03/2002

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

12/19/2013