EMILY CATHERINE LUTGEN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

INOPERATIVE

Business

First Name

EMILY

Middle

CATHERINE

Last Name

LUTGEN

Business Name

EMILY CATHERINE LUTGEN

Original Issue Date

03/25/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022