KRISTINE SUZANNE SPILLARD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001167

License Status

INACTIVE

Business

First Name

KRISTINE

Middle

SUZANNE

Last Name

SPILLARD

Business Name

KRISTINE SUZANNE SPILLARD

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

03/01/2000

City

GRAND JUNCTION

State

Zip

81504

County

COLORADO

Ever Disciplined

LastModifiedDate

09/26/2006