ANDREA MARIE DWYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

MARIE

Last Name

DWYER

Business Name

ANDREA MARIE DWYER

Original Issue Date

09/01/2010

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022