KATEE ELIZABETH HOGOBOOM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

KATEE

Middle

ELIZABETH

Last Name

HOGOBOOM

Business Name

KATEE ELIZABETH HOGOBOOM

Original Issue Date

07/17/2017

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022