LINDA M BURDETTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000008

License Status

NOT RENEWED

Business

First Name

LINDA M

Last Name

BURDETTE

Business Name

LINDA M BURDETTE

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

03/01/1990

City

BLOOMINGTON

State

Zip

61704

County

LAWRENCE

Ever Disciplined

LastModifiedDate

09/26/2006