WHITNEY AMBER PETERSEN - Physician Assistant License in Illinois | # 085006427

WHITNEY AMBER PETERSEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006427

License Status

NOT RENEWED

Business

N

First Name

WHITNEY

Middle

AMBER

Last Name

PETERSEN

Business Name

WHITNEY AMBER PETERSEN

Original Issue Date

10/27/2017

Effective Date

02/04/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022