LINDSAY AMANDA BOHNERT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

INOPERATIVE

Business

First Name

LINDSAY

Middle

AMANDA

Last Name

BOHNERT

Business Name

LINDSAY AMANDA BOHNERT

Original Issue Date

10/08/2014

Effective Date

10/08/2014

Expiration Date

03/01/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2015