CAITLIN E BLANKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005677

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

Last Name

BLANKE

Business Name

CAITLIN E BLANKE

Original Issue Date

09/28/2015

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018