STEPHANIE R KALENOWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

KALENOWSKI

Business Name

STEPHANIE R KALENOWSKI

Original Issue Date

03/23/2001

Effective Date

03/23/2001

Expiration Date

03/01/2004

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006