TERESA LYNNE MARTELLO 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

TERESA

Middle

LYNNE

Last Name

MARTELLO

Business Name

TERESA LYNNE MARTELLO

Original Issue Date

02/15/2008

Effective Date

02/15/2008

Expiration Date

03/01/2010

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/10/2011