ROBERT PATRICK KIERNAN 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

ROBERT

Middle

PATRICK

Last Name

KIERNAN

Business Name

ROBERT PATRICK KIERNAN

Original Issue Date

09/16/2008

Effective Date

09/16/2008

Expiration Date

03/01/2010

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2008