KATIE L OBERSTAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

OBERSTAR

Business Name

KATIE L OBERSTAR

Original Issue Date

11/07/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2010