KATHLEEN DIANE BOWMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002985

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

DIANE

Last Name

BOWMAN

Business Name

KATHLEEN DIANE BOWMAN

Original Issue Date

06/29/2007

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018