ELIZABETH ANN BEAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

INOPERATIVE

Business

First Name

ELIZABETH

Middle

ANN

Last Name

BEAN

Business Name

ELIZABETH ANN BEAN

Original Issue Date

04/28/2010

Effective Date

03/03/2014

Expiration Date

03/01/2016

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

05/13/2015