KATHLEEN ELIZABETH TEPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ELIZABETH

Last Name

TEPE

Business Name

KATHLEEN ELIZABETH TEPE

Original Issue Date

08/12/2014

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018