TIMOTHY EDWARD AHEARNE 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

TIMOTHY

Middle

EDWARD

Last Name

AHEARNE

Business Name

TIMOTHY EDWARD AHEARNE

Original Issue Date

12/10/2014

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018