CATHERINE HELEN TOPOR DIAZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

HELEN

Last Name

TOPOR DIAZ

Business Name

CATHERINE HELEN TOPOR DIAZ

Original Issue Date

09/03/2014

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/11/2018