CATHERINE ETIENNE CHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

ETIENNE

Last Name

CHEN

Business Name

CATHERINE ETIENNE CHEN

Original Issue Date

10/14/2015

Effective Date

02/11/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018