JOHN F KINCINAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

KINCINAS

Business Name

JOHN F KINCINAS

Original Issue Date

06/02/2004

Effective Date

03/14/2018

Expiration Date

03/01/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020