MARIA ANNE O'CONNOR 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

MARIA

Middle

ANNE

Last Name

O'CONNOR

Business Name

MARIA ANNE O'CONNOR

Original Issue Date

02/07/2005

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2016