ANDREW JOSEPH DEIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002524

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

JOSEPH

Last Name

DEIN

Business Name

ANDREW JOSEPH DEIN

Original Issue Date

08/05/2005

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016