KATHRYN LYNN ROGGOW 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

KATHRYN

Middle

LYNN

Last Name

ROGGOW

Business Name

KATHRYN LYNN ROGGOW

Original Issue Date

08/30/2013

Effective Date

08/30/2013

Expiration Date

03/01/2014

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2014