KATINA DAWN WALLINE - Physician Assistant License in Illinois | # 085002067

KATINA DAWN WALLINE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002067

License Status

NOT RENEWED

Business

N

First Name

KATINA

Middle

DAWN

Last Name

WALLINE

Business Name

KATINA DAWN WALLINE

Original Issue Date

08/28/2003

Effective Date

01/04/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

12/28/2015