CATHERINE ANN STAUB - Physician Assistant License in Illinois | # 085002472

CATHERINE ANN STAUB

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002472

License Status

NOT RENEWED

Business

N

First Name

CATHERINE

Middle

ANN

Last Name

STAUB

Business Name

CATHERINE ANN STAUB

Original Issue Date

04/14/2005

Effective Date

03/25/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

01/24/2017