ANTONIA M DECKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

ANTONIA

Middle

Last Name

DECKER

Business Name

ANTONIA M DECKER

Original Issue Date

08/10/2015

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018