MARGARET MARY STORBAKKEN - Physician Assistant License in Illinois | # 085006496

MARGARET MARY STORBAKKEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006496

License Status

NOT RENEWED

Business

N

First Name

MARGARET

Middle

MARY

Last Name

STORBAKKEN

Business Name

MARGARET MARY STORBAKKEN

Original Issue Date

01/29/2018

Effective Date

01/29/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020