KRISTEN JEANETTE FITZPATRICK - Physician Assistant License in Illinois | # 085004612

KRISTEN JEANETTE FITZPATRICK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004612

License Status

NOT RENEWED

Business

N

First Name

KRISTEN

Middle

JEANETTE

Last Name

FITZPATRICK

Business Name

KRISTEN JEANETTE FITZPATRICK

Original Issue Date

02/06/2013

Effective Date

02/27/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016