ERIN ELIZABETH DE BOER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005722

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

ELIZABETH

Last Name

DE BOER

Business Name

ERIN ELIZABETH DE BOER

Original Issue Date

10/28/2015

Effective Date

01/27/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025