BROOKE MEGAN RUMMELHOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

MEGAN

Last Name

RUMMELHOFF

Business Name

BROOKE MEGAN RUMMELHOFF

Original Issue Date

05/31/2005

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016