ANDREW J MASTERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000679

License Status

ACTIVE

Business

First Name

ANDREW J

Last Name

MASTERSON

Business Name

ANDREW J MASTERSON

Original Issue Date

03/28/1995

Effective Date

06/25/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025

Case Number

2018008556

Action

Suspension

Discipline Start Date

11/09/2018

Discipline End Date

01/16/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/17/2019.