ANDREA POWELL

Physician Assistant Controlled Substance(Delegated Schedules )

Illinois  385003606   Inoperative

This Illinois license was held by ANDREA POWELL. The license is no longer active. It was granted on 01/03/2014 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 385003606
  • Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules )
  • Status: Inoperative
  • Date Granted: 01/03/2014 (over 10 years ago)
  • Expiry Date: 03/01/2016 (about 8 years ago)

LOCATIONS

A Address

Skokie, IL 60077-1856