ABIGAIL MARIE BALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

NOT RENEWED

Business

First Name

ABIGAIL

Middle

MARIE

Last Name

BALL

Business Name

ABIGAIL MARIE BALL

Original Issue Date

01/08/2015

Effective Date

02/22/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018