BROOKE MEGAN RUMMELHOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002439

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

MEGAN

Last Name

RUMMELHOFF

Business Name

BROOKE MEGAN RUMMELHOFF

Original Issue Date

12/28/2004

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016