BRIAN T MASTERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005461

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

MASTERSON

Business Name

BRIAN T MASTERSON

Original Issue Date

04/29/2015

Effective Date

03/23/2016

Expiration Date

03/01/2018

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018