KATHERINE ASHLEY BECKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

ASHLEY

Last Name

BECKER

Business Name

KATHERINE ASHLEY BECKER

Original Issue Date

01/15/2017

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020