KRISTA DECOURSEY WASHBURN - Physician Assistant License in Illinois | # 085005580

KRISTA DECOURSEY WASHBURN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005580

License Status

NOT RENEWED

Business

N

First Name

KRISTA

Middle

DECOURSEY

Last Name

WASHBURN

Business Name

KRISTA DECOURSEY WASHBURN

Original Issue Date

07/28/2015

Effective Date

12/24/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022