KATHLEEN BURKE BRENNAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

INOPERATIVE

Business

First Name

KATHLEEN

Middle

BURKE

Last Name

BRENNAN

Business Name

KATHLEEN BURKE BRENNAN

Original Issue Date

03/26/2001

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2016