ANNETTE F BOBAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

ANNETTE F

Last Name

BOBAN

Business Name

ANNETTE F BOBAN

Original Issue Date

02/24/2011

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2022