JACQUELINE SUE OSTERHAUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SUE

Last Name

OSTERHAUS

Business Name

JACQUELINE SUE OSTERHAUS

Original Issue Date

03/07/2001

Effective Date

03/07/2001

Expiration Date

03/01/2006

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/09/2006