KATHLEEN ERIN IDSTEIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006135

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ERIN

Last Name

IDSTEIN

Business Name

KATHLEEN ERIN IDSTEIN

Original Issue Date

02/15/2017

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/24/2020