ERIN ELIZABETH DE BOER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

ELIZABETH

Last Name

DE BOER

Business Name

ERIN ELIZABETH DE BOER

Original Issue Date

11/24/2015

Effective Date

07/16/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025