BRAD C ALBERTINI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

ALBERTINI

Business Name

BRAD C ALBERTINI

Original Issue Date

02/19/2002

Effective Date

03/13/2014

Expiration Date

03/01/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/11/2016