SHANE WYATT KESLER - Physician Assistant License in Illinois | # 085004441

SHANE WYATT KESLER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004441

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

WYATT

Last Name

KESLER

Business Name

SHANE WYATT KESLER

Original Issue Date

09/11/2012

Effective Date

09/11/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014