KATHERINE MARIE PUDLOWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MARIE

Last Name

PUDLOWSKI

Business Name

KATHERINE MARIE PUDLOWSKI

Original Issue Date

01/28/2004

Effective Date

01/28/2004

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006