CATHERINE GRACE ENGIBOUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003743

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

GRACE

Last Name

ENGIBOUS

Business Name

CATHERINE GRACE ENGIBOUS

Original Issue Date

06/09/2010

Effective Date

06/09/2010

Expiration Date

03/01/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012