CATHERINE ANN STAUB Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

ANN

Last Name

STAUB

Business Name

CATHERINE ANN STAUB

Original Issue Date

03/12/2008

Effective Date

03/12/2008

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/26/2016