KATHRYN ANNA REMBOLT 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

KATHRYN

Middle

ANNA

Last Name

REMBOLT

Business Name

KATHRYN ANNA REMBOLT

Original Issue Date

01/26/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

12/21/2010