ABBY L HEIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

INOPERATIVE

Business

First Name

ABBY

Middle

Last Name

HEIN

Business Name

ABBY L HEIN

Original Issue Date

08/17/2011

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

04/26/2012