NOREEN BRIDGET KELEHER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

INOPERATIVE

Business

First Name

NOREEN

Middle

BRIDGET

Last Name

KELEHER

Business Name

NOREEN BRIDGET KELEHER

Original Issue Date

07/16/2009

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/09/2015