GIA RAE ELIASON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

GIA

Middle

RAE

Last Name

ELIASON

Business Name

GIA RAE ELIASON

Original Issue Date

07/08/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2016