GRETCHEN E OESTREICH Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000479

License Status

INACTIVE

Business

First Name

GRETCHEN E

Last Name

OESTREICH

Business Name

GRETCHEN E OESTREICH

Original Issue Date

12/19/1991

Effective Date

12/19/1991

Expiration Date

03/01/1996

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006