KRISTEN A STREITENBERGER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

INOPERATIVE

Business

First Name

KRISTEN

Middle

Last Name

STREITENBERGER

Business Name

KRISTEN A STREITENBERGER

Original Issue Date

09/05/2013

Effective Date

02/14/2014

Expiration Date

03/01/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2015