KRISTIN MATTESON BRINDISI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

INOPERATIVE

Business

First Name

KRISTIN

Middle

MATTESON

Last Name

BRINDISI

Business Name

KRISTIN MATTESON BRINDISI

Original Issue Date

08/28/2017

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019