HANNAH MARIE KERKHOF Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

INOPERATIVE

Business

First Name

HANNAH

Middle

MARIE

Last Name

KERKHOF

Business Name

HANNAH MARIE KERKHOF

Original Issue Date

01/04/2022

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2023