ERIN LAURA BARTELS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

LAURA

Last Name

BARTELS

Business Name

ERIN LAURA BARTELS

Original Issue Date

09/03/2010

Effective Date

09/03/2010

Expiration Date

03/01/2012

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/22/2012