SUSAN ANITA KINATE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

INOPERATIVE

Business

First Name

SUSAN

Middle

ANITA

Last Name

KINATE

Business Name

SUSAN ANITA KINATE

Original Issue Date

04/22/2008

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2018