ANGELA MARIE KUERBITZ Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

INOPERATIVE

Business

First Name

ANGELA

Middle

MARIE

Last Name

KUERBITZ

Business Name

ANGELA MARIE KUERBITZ

Original Issue Date

10/12/2010

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018