KATHERINE M HASSELBRINK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

HASSELBRINK

Business Name

KATHERINE M HASSELBRINK

Original Issue Date

02/10/2005

Effective Date

02/10/2005

Expiration Date

03/01/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2009