ELIZABETH MARIE EMANUEL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

EMANUEL

Business Name

ELIZABETH MARIE EMANUEL

Original Issue Date

01/23/2015

Effective Date

01/23/2015

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2015