KATHRYN ANNA REMBOLT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002826

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

ANNA

Last Name

REMBOLT

Business Name

KATHRYN ANNA REMBOLT

Original Issue Date

10/03/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/21/2010