KATIE ANNE BALCER 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

KATIE

Middle

ANNE

Last Name

BALCER

Business Name

KATIE ANNE BALCER

Original Issue Date

11/02/2011

Effective Date

03/15/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020