CHELSEA TARA BURTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004370

License Status

NOT RENEWED

Business

First Name

CHELSEA

Middle

TARA

Last Name

BURTON

Business Name

CHELSEA TARA BURTON

Original Issue Date

07/31/2012

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016