DIANE MICHELE YATES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MICHELE

Last Name

YATES

Business Name

DIANE MICHELE YATES

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009