STEPHANIE BURNS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003905

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Last Name

BURNS

Business Name

STEPHANIE BURNS

Original Issue Date

09/28/2010

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018