KATHERINE P SCHENCK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

INOPERATIVE

Business

First Name

KATHERINE

Middle

Last Name

SCHENCK

Business Name

KATHERINE P SCHENCK

Original Issue Date

08/31/2006

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/18/2019