PINNA REA KATZ 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

PINNA

Middle

REA

Last Name

KATZ

Business Name

PINNA REA KATZ

Original Issue Date

12/14/2005

Effective Date

03/11/2014

Expiration Date

03/01/2016

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016