PATRICIA BUSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

BUSH

Business Name

PATRICIA BUSH

Original Issue Date

06/02/2009

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

01/21/2016