KRISTINE M BOWERSOX Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

Last Name

BOWERSOX

Business Name

KRISTINE M BOWERSOX

Original Issue Date

11/07/2013

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025