KIMBERLY ANN BOLLMEIER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

INOPERATIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

BOLLMEIER

Business Name

KIMBERLY ANN BOLLMEIER

Original Issue Date

08/12/2013

Effective Date

03/04/2014

Expiration Date

03/01/2016

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2014