KIMBERLY NICOLE KOLDENHOVEN - Physician Assistant License in Illinois | # 085002977

KIMBERLY NICOLE KOLDENHOVEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002977

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

NICOLE

Last Name

KOLDENHOVEN

Business Name

KIMBERLY NICOLE KOLDENHOVEN

Original Issue Date

06/26/2007

Effective Date

03/06/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2015