ANDREA IRENE RUTHERFORD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003364

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

IRENE

Last Name

RUTHERFORD

Business Name

ANDREA IRENE RUTHERFORD

Original Issue Date

10/17/2008

Effective Date

02/15/2022

Expiration Date

03/01/2024

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025