ANNA J SPIESSBACH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004856

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

SPIESSBACH

Business Name

ANNA J SPIESSBACH

Original Issue Date

10/03/2013

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016