KATHERINE MARIE RITZENTHALER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

MARIE

Last Name

RITZENTHALER

Business Name

KATHERINE MARIE RITZENTHALER

Original Issue Date

04/17/2009

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012