ANNA-TRIZIA RODRIGUEZ KILLEEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

ANNA-TRIZIA

Middle

RODRIGUEZ

Last Name

KILLEEN

Business Name

ANNA-TRIZIA RODRIGUEZ KILLEEN

Original Issue Date

09/17/2008

Effective Date

12/30/2009

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012