EMILY CATHERINE LUTGEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006867

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

CATHERINE

Last Name

LUTGEN

Business Name

EMILY CATHERINE LUTGEN

Original Issue Date

12/06/2018

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022