STEFANIE C KADOLPH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001792

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

Last Name

KADOLPH

Business Name

STEFANIE C KADOLPH

Original Issue Date

04/17/2002

Effective Date

02/28/2018

Expiration Date

03/01/2020

City

ROSELLE

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020