ANNA J SPIESSBACH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

INOPERATIVE

Business

First Name

ANNA

Middle

Last Name

SPIESSBACH

Business Name

ANNA J SPIESSBACH

Original Issue Date

10/03/2013

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2016