NICOLE MARILYN HANGSTERFER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

INOPERATIVE

Business

First Name

NICOLE

Middle

MARILYN

Last Name

HANGSTERFER

Business Name

NICOLE MARILYN HANGSTERFER

Original Issue Date

09/01/2016

Effective Date

03/02/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019