HENRY KNOOP IV Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

HENRY

Last Name

KNOOP

Suffix

Business Name

HENRY KNOOP IV

Original Issue Date

11/01/2012

Effective Date

03/11/2014

Expiration Date

03/01/2016

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016