JOANNA ELISABETH TAEPKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002048

License Status

NOT RENEWED

Business

First Name

JOANNA

Middle

ELISABETH

Last Name

TAEPKE

Business Name

JOANNA ELISABETH TAEPKE

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

03/01/2004

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006