TAYLOR ANNE HERMLE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

INOPERATIVE

Business

First Name

TAYLOR

Middle

ANNE

Last Name

HERMLE

Business Name

TAYLOR ANNE HERMLE

Original Issue Date

08/12/2016

Effective Date

08/12/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018