ANDREA IRENE RUTHERFORD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

IRENE

Last Name

RUTHERFORD

Business Name

ANDREA IRENE RUTHERFORD

Original Issue Date

01/07/2009

Effective Date

02/15/2022

Expiration Date

03/01/2024

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025