ANGELA BROOKE KEMP Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

INOPERATIVE

Business

First Name

ANGELA

Middle

BROOKE

Last Name

KEMP

Business Name

ANGELA BROOKE KEMP

Original Issue Date

11/05/2009

Effective Date

01/05/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2013