KIMBERLY ANN BOLLMEIER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004647

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BOLLMEIER

Business Name

KIMBERLY ANN BOLLMEIER

Original Issue Date

04/22/2013

Effective Date

03/04/2014

Expiration Date

03/01/2016

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016