JACQUELINE SUE OSTERHAUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001536

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SUE

Last Name

OSTERHAUS

Business Name

JACQUELINE SUE OSTERHAUS

Original Issue Date

12/26/2000

Effective Date

12/26/2000

Expiration Date

03/01/2006

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/09/2006