AUDREY K BRESTEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

Last Name

BRESTEL

Business Name

AUDREY K BRESTEL

Original Issue Date

10/17/2007

Effective Date

01/08/2010

Expiration Date

03/01/2012

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012