ANNA KATE PRUETT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

ANNA

Middle

KATE

Last Name

PRUETT

Business Name

ANNA KATE PRUETT

Original Issue Date

02/01/2018

Effective Date

02/01/2018

Expiration Date

03/01/2020

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

12/18/2019