KALIE EILEEN ERWIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

INOPERATIVE

Business

First Name

KALIE

Middle

EILEEN

Last Name

ERWIN

Business Name

KALIE EILEEN ERWIN

Original Issue Date

03/31/2020

Effective Date

02/05/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023