KATEE ELIZABETH HOGOBOOM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006219

License Status

NOT RENEWED

Business

First Name

KATEE

Middle

ELIZABETH

Last Name

HOGOBOOM

Business Name

KATEE ELIZABETH HOGOBOOM

Original Issue Date

06/28/2017

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022