SUSAN L BERTHEL - Physician Assistant License in Illinois | # 085000790

SUSAN L BERTHEL

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000790

License Status

INACTIVE

Business

N

First Name

SUSAN L

Last Name

BERTHEL

Business Name

SUSAN L BERTHEL

Original Issue Date

03/09/1996

Effective Date

03/09/1996

Expiration Date

03/01/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006