NATALIE J PODBOY 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

NATALIE

Middle

Last Name

PODBOY

Business Name

NATALIE J PODBOY

Original Issue Date

10/04/2006

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2015