KRISTINA RENEE SAMSON - Physician Assistant License in Illinois | # 085005243

KRISTINA RENEE SAMSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005243

License Status

NOT RENEWED

Business

N

First Name

KRISTINA

Middle

RENEE

Last Name

SAMSON

Business Name

KRISTINA RENEE SAMSON

Original Issue Date

09/22/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020