KATIE L OBERSTAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003114

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

OBERSTAR

Business Name

KATIE L OBERSTAR

Original Issue Date

10/18/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2010