KATIE MARIE HABERSBRUNNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

MARIE

Last Name

HABERSBRUNNER

Business Name

KATIE MARIE HABERSBRUNNER

Original Issue Date

12/08/2010

Effective Date

01/12/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014