KATHERINE ELAINE HERSBERGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008714

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

ELAINE

Last Name

HERSBERGER

Business Name

KATHERINE ELAINE HERSBERGER

Original Issue Date

10/20/2021

Effective Date

10/20/2021

Expiration Date

03/01/2022

City

FORTVILLE

State

Zip

46040

Ever Disciplined

LastModifiedDate

07/27/2022