MAXIE HUYNH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

NOT RENEWED

Business

First Name

MAXIE

Last Name

HUYNH

Business Name

MAXIE HUYNH

Original Issue Date

01/19/2016

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020