KALYN RACHEL HAFEMANN - Physician Assistant License in Illinois | # 085001758

KALYN RACHEL HAFEMANN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001758

License Status

NOT RENEWED

Business

N

First Name

KALYN

Middle

RACHEL

Last Name

HAFEMANN

Business Name

KALYN RACHEL HAFEMANN

Original Issue Date

01/30/2002

Effective Date

02/09/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014