KATHLEEN SUE MAAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005100

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

SUE

Last Name

MAAS

Business Name

KATHLEEN SUE MAAS

Original Issue Date

07/28/2014

Effective Date

07/28/2014

Expiration Date

03/01/2016

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/25/2016