NATALIE HILSON DIETERLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001672

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

HILSON

Last Name

DIETERLE

Business Name

NATALIE HILSON DIETERLE

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2004

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006