HEIDI KATHLEEN HYNES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003195

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

KATHLEEN

Last Name

HYNES

Business Name

HEIDI KATHLEEN HYNES

Original Issue Date

02/26/2008

Effective Date

01/08/2010

Expiration Date

03/01/2012

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/11/2012