ELISABETH ANNE WHITE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

ELISABETH

Middle

ANNE

Last Name

WHITE

Business Name

ELISABETH ANNE WHITE

Original Issue Date

06/18/2008

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

12/02/2015