DAWN MARIE OSINSKI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

INOPERATIVE

Business

First Name

DAWN

Middle

MARIE

Last Name

OSINSKI

Business Name

DAWN MARIE OSINSKI

Original Issue Date

07/13/2009

Effective Date

03/05/2012

Expiration Date

03/01/2014

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2012