KRISTINE AMY FOSTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002469

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

AMY

Last Name

FOSTER

Business Name

KRISTINE AMY FOSTER

Original Issue Date

03/30/2005

Effective Date

01/19/2010

Expiration Date

03/01/2012

City

GOLDEN

State

Zip

80401

County

COLORADO

Ever Disciplined

LastModifiedDate

04/11/2012