KATHERINE ANNE GOODRICH - Physician Assistant License in Illinois | # 085004311

KATHERINE ANNE GOODRICH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004311

License Status

NOT RENEWED

Business

N

First Name

KATHERINE

Middle

ANNE

Last Name

GOODRICH

Business Name

KATHERINE ANNE GOODRICH

Original Issue Date

04/03/2012

Effective Date

01/30/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016