KRISTIN MARIE BLANKENSHIP - Physician Assistant License in Illinois | # 085004979

KRISTIN MARIE BLANKENSHIP

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004979

License Status

INACTIVE

Business

N

First Name

KRISTIN

Middle

MARIE

Last Name

BLANKENSHIP

Business Name

KRISTIN MARIE BLANKENSHIP

Original Issue Date

01/28/2014

Effective Date

01/28/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

01/21/2016