COLIN THOMAS OCONNOR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

INOPERATIVE

Business

First Name

COLIN

Middle

THOMAS

Last Name

OCONNOR

Business Name

COLIN THOMAS OCONNOR

Original Issue Date

06/30/2016

Effective Date

06/30/2016

Expiration Date

03/01/2018

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018