ERIC W PITTS 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

ERIC

Middle

Last Name

PITTS

Business Name

ERIC W PITTS

Original Issue Date

10/03/2013

Effective Date

03/04/2014

Expiration Date

03/01/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

03/04/2014