DIANA JEAN HARDY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

JEAN

Last Name

HARDY

Business Name

DIANA JEAN HARDY

Original Issue Date

08/01/2008

Effective Date

08/01/2008

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

12/31/2020