HEIDI BARNES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

HEIDI

Last Name

BARNES

Business Name

HEIDI BARNES

Original Issue Date

08/21/2018

Effective Date

08/21/2018

Expiration Date

03/01/2020

City

SKOKIE

State

Zip

60077

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020