BRIDGET ANN DINE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

ACTIVE

Business

First Name

BRIDGET

Middle

ANN

Last Name

DINE

Business Name

BRIDGET ANN DINE

Original Issue Date

12/03/2025

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025