MELISSA L OLTHOFF Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

INOPERATIVE

Business

First Name

MELISSA

Middle

Last Name

OLTHOFF

Business Name

MELISSA L OLTHOFF

Original Issue Date

10/30/2015

Effective Date

02/04/2016

Expiration Date

03/01/2018

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018