KATIE SUE GRATZ Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

INOPERATIVE

Business

First Name

KATIE

Middle

SUE

Last Name

GRATZ

Business Name

KATIE SUE GRATZ

Original Issue Date

11/10/2011

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

NEW LONDON

State

Zip

52645

County

IOWA

Ever Disciplined

LastModifiedDate

03/10/2015