WHITNEY AMBER PETERSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006427

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022