KATHLEEN ELIZABETH TEPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005011

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ELIZABETH

Last Name

TEPE

Business Name

KATHLEEN ELIZABETH TEPE

Original Issue Date

03/25/2014

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018