RACHEL LYNN NEILITZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

LYNN

Last Name

NEILITZ

Business Name

RACHEL LYNN NEILITZ

Original Issue Date

04/01/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2008