ROXANNE HORWATH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

NOT RENEWED

Business

First Name

ROXANNE

Last Name

HORWATH

Business Name

ROXANNE HORWATH

Original Issue Date

01/13/2011

Effective Date

01/13/2011

Expiration Date

03/01/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012