BETH ANNE PADIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANNE

Last Name

PADIN

Business Name

BETH ANNE PADIN

Original Issue Date

05/15/2006

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2012