CYNTHIA ANN BEAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

ANN

Last Name

BEAR

Business Name

CYNTHIA ANN BEAR

Original Issue Date

06/02/2004

Effective Date

02/10/2010

Expiration Date

03/01/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2012