KATHRYN REGINA KAUFMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005744

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

REGINA

Last Name

KAUFMANN

Business Name

KATHRYN REGINA KAUFMANN

Original Issue Date

12/04/2015

Effective Date

12/04/2015

Expiration Date

03/01/2018

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2018