KATHLEEN MARIE BURKE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001412

License Status

INACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

BURKE

Business Name

KATHLEEN MARIE BURKE

Original Issue Date

07/13/2000

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

VIENNA

State

Zip

22180

County

VIRGINIA

Ever Disciplined

LastModifiedDate

12/09/2009