ANNA MARGARET UNDERWOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MARGARET

Last Name

UNDERWOOD

Business Name

ANNA MARGARET UNDERWOOD

Original Issue Date

08/04/2015

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018