JOANNA ELISABETH TAEPKE - Physician Assistant License in Illinois | # 085002048

JOANNA ELISABETH TAEPKE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002048

License Status

NOT RENEWED

Business

N

First Name

JOANNA

Middle

ELISABETH

Last Name

TAEPKE

Business Name

JOANNA ELISABETH TAEPKE

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006