CAMMIE LIU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

CAMMIE

Last Name

LIU

Business Name

CAMMIE LIU

Original Issue Date

11/05/2018

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

NEW LENOX

State

Zip

60451

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022