MARGARET MARY STORBAKKEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006496

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

MARY

Last Name

STORBAKKEN

Business Name

MARGARET MARY STORBAKKEN

Original Issue Date

01/29/2018

Effective Date

01/29/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020