ANDREA MARIE DWYER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003765

License Status

INACTIVE

Business

First Name

ANDREA

Middle

MARIE

Last Name

DWYER

Business Name

ANDREA MARIE DWYER

Original Issue Date

06/23/2010

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2022