JACQUELINE SUE OSTERHAUS - Physician Assistant License in Illinois | # 085001536

JACQUELINE SUE OSTERHAUS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001536

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

SUE

Last Name

OSTERHAUS

Business Name

JACQUELINE SUE OSTERHAUS

Original Issue Date

12/26/2000

Effective Date

12/26/2000

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006