KATY LORRAINE DILLAND PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

NOT RENEWED

Business

Title

PA-C

First Name

KATY

Middle

LORRAINE

Last Name

DILLAND

Business Name

KATY LORRAINE DILLAND PA-C

Original Issue Date

09/08/2020

Effective Date

09/08/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022