ALLISON ARNE ENGELSMA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

INOPERATIVE

Business

First Name

ALLISON

Middle

ARNE

Last Name

ENGELSMA

Business Name

ALLISON ARNE ENGELSMA

Original Issue Date

10/06/2011

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2014