LIBBY S SLOSBURG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

INOPERATIVE

Business

First Name

LIBBY

Middle

Last Name

SLOSBURG

Business Name

LIBBY S SLOSBURG

Original Issue Date

03/09/2020

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2023