SUSAN L BERTHEL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000790

License Status

INACTIVE

Business

First Name

SUSAN L

Last Name

BERTHEL

Business Name

SUSAN L BERTHEL

Original Issue Date

03/09/1996

Effective Date

03/09/1996

Expiration Date

03/01/2000

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006