LAWRENCE J KELSO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000043

License Status

NOT RENEWED

Business

First Name

LAWRENCE J

Last Name

KELSO

Business Name

LAWRENCE J KELSO

Original Issue Date

11/05/1978

Effective Date

11/05/1978

Expiration Date

11/05/1980

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

09/26/2006