EDWARD L BURNS 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

EDWARD L

Last Name

BURNS

Business Name

EDWARD L BURNS

Original Issue Date

01/25/2002

Effective Date

01/25/2002

Expiration Date

03/01/2006

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006