BRIAN T MASTERSON - Physician Assistant License in Illinois | # 085005461

BRIAN T MASTERSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005461

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

T

Last Name

MASTERSON

Business Name

BRIAN T MASTERSON

Original Issue Date

04/29/2015

Effective Date

03/23/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018