KRAIG L MARTIN - Physician Assistant License in Illinois | # 085003102

KRAIG L MARTIN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003102

License Status

NOT RENEWED

Business

N

First Name

KRAIG

Middle

L

Last Name

MARTIN

Business Name

KRAIG L MARTIN

Original Issue Date

10/11/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2010