ANDREA LYNN BOYD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LYNN

Last Name

BOYD

Business Name

ANDREA LYNN BOYD

Original Issue Date

04/16/2009

Effective Date

04/16/2009

Expiration Date

03/01/2010

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/22/2010