KATELYN N TRINQUERO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005294

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

Last Name

TRINQUERO

Business Name

KATELYN N TRINQUERO

Original Issue Date

10/06/2014

Effective Date

03/02/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020