AUDRA ELIZABETH EGGERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

ELIZABETH

Last Name

EGGERS

Business Name

AUDRA ELIZABETH EGGERS

Original Issue Date

07/15/2013

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016