KATHRYN MARIE BRIGUGLIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

MARIE

Last Name

BRIGUGLIO

Business Name

KATHRYN MARIE BRIGUGLIO

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

03/01/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2014