HENRY KNOOP IV Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003747

License Status

NOT RENEWED

Business

First Name

HENRY

Last Name

KNOOP

Suffix

Business Name

HENRY KNOOP IV

Original Issue Date

06/15/2010

Effective Date

03/11/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016