NICOLE SPRUANCE FURNO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SPRUANCE

Last Name

FURNO

Business Name

NICOLE SPRUANCE FURNO

Original Issue Date

01/29/2010

Effective Date

01/29/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012