ERYN MARIE BUNNELL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

INOPERATIVE

Business

First Name

ERYN

Middle

MARIE

Last Name

BUNNELL

Business Name

ERYN MARIE BUNNELL

Original Issue Date

01/03/2022

Effective Date

01/03/2022

Expiration Date

03/01/2024

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023