KELLI ELAINE GROOMER - Physician Assistant License in Illinois | # 085004349

KELLI ELAINE GROOMER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004349

License Status

NOT RENEWED

Business

N

First Name

KELLI

Middle

ELAINE

Last Name

GROOMER

Business Name

KELLI ELAINE GROOMER

Original Issue Date

07/12/2012

Effective Date

02/08/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018