BRENDAN P SWEENEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

BRENDAN

Middle

Last Name

SWEENEY

Business Name

BRENDAN P SWEENEY

Original Issue Date

11/06/2013

Effective Date

02/09/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020