ERICKA LEA STOOR-BURNING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

NOT RENEWED

Business

First Name

ERICKA

Middle

LEA

Last Name

STOOR-BURNING

Business Name

ERICKA LEA STOOR-BURNING

Original Issue Date

12/13/2012

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

NILES

State

Zip

60714

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025