KATHERINE M HASSELBRINK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002263

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

HASSELBRINK

Business Name

KATHERINE M HASSELBRINK

Original Issue Date

07/15/2004

Effective Date

07/15/2004

Expiration Date

03/01/2008

City

KENOSHA

State

Zip

53140

Ever Disciplined

LastModifiedDate

02/05/2009