HEATHER LEAH MCKINLEY 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

HEATHER

Middle

LEAH

Last Name

MCKINLEY

Business Name

HEATHER LEAH MCKINLEY

Original Issue Date

07/14/2011

Effective Date

02/28/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020