KATHLEEN DIANE BOWMAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

INOPERATIVE

Business

First Name

KATHLEEN

Middle

DIANE

Last Name

BOWMAN

Business Name

KATHLEEN DIANE BOWMAN

Original Issue Date

07/31/2007

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018