KATIE MARIE HABERSBRUNNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003833

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

MARIE

Last Name

HABERSBRUNNER

Business Name

KATIE MARIE HABERSBRUNNER

Original Issue Date

08/25/2010

Effective Date

01/12/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014