MARINA A BIRMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

MARINA

Middle

Last Name

BIRMAN

Business Name

MARINA A BIRMAN

Original Issue Date

12/11/2008

Effective Date

03/03/2010

Expiration Date

03/01/2012

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

04/11/2012