STEPHANIE BURNS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

INOPERATIVE

Business

First Name

STEPHANIE

Last Name

BURNS

Business Name

STEPHANIE BURNS

Original Issue Date

11/17/2010

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018