CARISSA LYNN PARDEKOOPER - Physician Assistant License in Illinois | # 085005227

CARISSA LYNN PARDEKOOPER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005227

License Status

NOT RENEWED

Business

N

First Name

CARISSA

Middle

LYNN

Last Name

PARDEKOOPER

Business Name

CARISSA LYNN PARDEKOOPER

Original Issue Date

09/16/2014

Effective Date

01/30/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022