AMY LEE ERLENBUSCH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004291

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LEE

Last Name

ERLENBUSCH

Business Name

AMY LEE ERLENBUSCH

Original Issue Date

03/08/2012

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

ALGONQUIN

State

Zip

60102

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022