KATHERINE P SCHENCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002736

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

SCHENCK

Business Name

KATHERINE P SCHENCK

Original Issue Date

07/17/2006

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/24/2020