COURTNEY VON FREEMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

VON

Last Name

FREEMAN

Business Name

COURTNEY VON FREEMAN

Original Issue Date

03/03/2005

Effective Date

03/03/2005

Expiration Date

03/01/2006

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/09/2006