COURTNEY KAE ANDERSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

INOPERATIVE

Business

First Name

COURTNEY

Middle

KAE

Last Name

ANDERSON

Business Name

COURTNEY KAE ANDERSON

Original Issue Date

03/13/2013

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2022