KATIE R ASP
Physician Assistant Controlled Substance(Delegated Schedules )
Illinois 385002820 Inoperative
This Illinois license was held by KATIE R ASP. The license is no longer active. It was granted on 07/14/2011 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385002820
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules )
- Status: Inoperative
- Date Granted: 07/14/2011 (almost 14 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Springfield, IL 62702-3719