THOMAS GREGORY KUERBITZ Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

INOPERATIVE

Business

First Name

THOMAS

Middle

GREGORY

Last Name

KUERBITZ

Business Name

THOMAS GREGORY KUERBITZ

Original Issue Date

06/21/2010

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018