KELLY S LICARI - Physician Assistant License in Illinois | # 085001156

KELLY S LICARI

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001156

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

S

Last Name

LICARI

Business Name

KELLY S LICARI

Original Issue Date

01/11/1999

Effective Date

02/03/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018