SUSAN M DIBBLEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001614

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

DIBBLEE

Business Name

SUSAN M DIBBLEE

Original Issue Date

07/24/2001

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025