ANN MARIE HARTMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MARIE

Last Name

HARTMAN

Business Name

ANN MARIE HARTMAN

Original Issue Date

06/07/2002

Effective Date

06/07/2002

Expiration Date

03/01/2004

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006