ANDREW JOSEPH DEIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

INOPERATIVE

Business

First Name

ANDREW

Middle

JOSEPH

Last Name

DEIN

Business Name

ANDREW JOSEPH DEIN

Original Issue Date

10/03/2006

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/21/2016