HEIDI KATHLEEN HYNES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

KATHLEEN

Last Name

HYNES

Business Name

HEIDI KATHLEEN HYNES

Original Issue Date

09/17/2008

Effective Date

01/08/2010

Expiration Date

03/01/2012

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/16/2012