AMY LEE ERLENBUSCH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

INOPERATIVE

Business

First Name

AMY

Middle

LEE

Last Name

ERLENBUSCH

Business Name

AMY LEE ERLENBUSCH

Original Issue Date

08/29/2012

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/03/2022