KATHERINE V LUTYENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

LUTYENS

Business Name

KATHERINE V LUTYENS

Original Issue Date

07/12/2012

Effective Date

03/03/2014

Expiration Date

03/01/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/24/2016