KEVIN MATTHEW O'CONNOR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006469

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MATTHEW

Last Name

O'CONNOR

Business Name

KEVIN MATTHEW O'CONNOR

Original Issue Date

12/18/2017

Effective Date

12/18/2017

Expiration Date

03/01/2020

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

11/24/2020