KELLY LYNN MARTI - Physician Assistant License in Illinois | # 085001884

KELLY LYNN MARTI

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001884

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

LYNN

Last Name

MARTI

Business Name

KELLY LYNN MARTI

Original Issue Date

09/24/2002

Effective Date

01/30/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016