GARTH TODD ADKINS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

GARTH

Middle

TODD

Last Name

ADKINS

Business Name

GARTH TODD ADKINS

Original Issue Date

01/02/2009

Effective Date

01/02/2009

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

02/10/2011