BRAD C ALBERTINI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001668

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

ALBERTINI

Business Name

BRAD C ALBERTINI

Original Issue Date

11/01/2001

Effective Date

03/13/2014

Expiration Date

03/01/2016

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/31/2016

Case Number

2016007337

Action

Refuse To Renew

Discipline Start Date

10/21/2016

Discipline Reason

for the revocation of his National Commission on Certification of Physician Assistants Certification.