CARLA DAWN FRAZINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

DAWN

Last Name

FRAZINE

Business Name

CARLA DAWN FRAZINE

Original Issue Date

03/13/2001

Effective Date

03/13/2001

Expiration Date

03/01/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006