CAITLIN E BLANKE 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

CAITLIN

Middle

Last Name

BLANKE

Business Name

CAITLIN E BLANKE

Original Issue Date

05/16/2016

Effective Date

05/16/2016

Expiration Date

03/01/2018

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018