KATIE MARIE HABERSBRUNNER - Physician Assistant License in Illinois | # 085003833

KATIE MARIE HABERSBRUNNER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003833

License Status

NOT RENEWED

Business

N

First Name

KATIE

Middle

MARIE

Last Name

HABERSBRUNNER

Business Name

KATIE MARIE HABERSBRUNNER

Original Issue Date

08/25/2010

Effective Date

01/12/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014