MICHELLE L ING 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

MICHELLE

Middle

Last Name

ING

Business Name

MICHELLE L ING

Original Issue Date

11/29/2006

Effective Date

11/29/2006

Expiration Date

03/01/2008

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/28/2007