HEATHER FUNDERBURG KIRKPATRICK - Physician Assistant License in Illinois | # 085005638

HEATHER FUNDERBURG KIRKPATRICK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005638

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

FUNDERBURG

Last Name

KIRKPATRICK

Business Name

HEATHER FUNDERBURG KIRKPATRICK

Original Issue Date

09/17/2015

Effective Date

02/25/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018