KATIE R ASP - Physician Assistant License in Illinois | # 085003497

KATIE R ASP

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003497

License Status

NOT RENEWED

Business

N

First Name

KATIE

Middle

R

Last Name

ASP

Business Name

KATIE R ASP

Original Issue Date

07/07/2009

Effective Date

02/05/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016