EMILY CLAIRE EITEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

CLAIRE

Last Name

EITEN

Business Name

EMILY CLAIRE EITEN

Original Issue Date

12/01/2015

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018