TERRY GAIL ROMANA Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

CANCELLED

Business

First Name

TERRY

Middle

GAIL

Last Name

ROMANA

Business Name

TERRY GAIL ROMANA

Original Issue Date

03/27/2007

Effective Date

03/27/2007

Expiration Date

03/01/2008

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2007