CHRISTINE M KURCZABA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

KURCZABA

Business Name

CHRISTINE M KURCZABA

Original Issue Date

09/24/2003

Effective Date

02/19/2015

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/18/2016