KATHLEEN E HANLON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

HANLON

Business Name

KATHLEEN E HANLON

Original Issue Date

09/28/2009

Effective Date

02/09/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/07/2014