ANDREW MARTIN BURNS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

INOPERATIVE

Business

First Name

ANDREW

Middle

MARTIN

Last Name

BURNS

Business Name

ANDREW MARTIN BURNS

Original Issue Date

02/21/2013

Effective Date

02/11/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018