BRIAN T MASTERSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

BRIAN

Middle

Last Name

MASTERSON

Business Name

BRIAN T MASTERSON

Original Issue Date

06/16/2015

Effective Date

03/23/2016

Expiration Date

03/01/2018

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018