AMY LEE ERLENBUSCH - Physician Assistant License in Illinois | # 085004291

AMY LEE ERLENBUSCH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004291

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022