Eleanor Theobald

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085008277

Status

Expired (Not Renewed)

First issued

April 12, 2021

Expired

March 1, 2024

License holder

Eleanor Theobald

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/15/2022

Other Illinois licenses under this name

• IL
  Eleanor Theobald

  License 38*****27

  Physician Assistant Controlled Substance
  Expired

  Chicago, IL

  Expired Mar 1, 2024

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