CATHERINE HELEN TOPOR DIAZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005125

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

HELEN

Last Name

TOPOR DIAZ

Business Name

CATHERINE HELEN TOPOR DIAZ

Original Issue Date

08/05/2014

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2018