KATHLEEN R DEANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

DEANS

Business Name

KATHLEEN R DEANS

Original Issue Date

01/30/2006

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

CRESTWOOD

State

Zip

60445

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020