STEFANIE C KADOLPH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

INOPERATIVE

Business

First Name

STEFANIE

Middle

Last Name

KADOLPH

Business Name

STEFANIE C KADOLPH

Original Issue Date

07/17/2002

Effective Date

02/28/2018

Expiration Date

03/01/2020

City

DEERFIELD

State

Zip

60015

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019