KELIN BARBARA O'DONNELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

KELIN

Middle

BARBARA

Last Name

O'DONNELL

Business Name

KELIN BARBARA O'DONNELL

Original Issue Date

12/15/2006

Effective Date

12/30/2009

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012