EDWARD L BURNS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001707

License Status

INACTIVE

Business

First Name

EDWARD L

Last Name

BURNS

Business Name

EDWARD L BURNS

Original Issue Date

11/20/2001

Effective Date

11/20/2001

Expiration Date

03/01/2006

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006