KELLY S LICARI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001156

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LICARI

Business Name

KELLY S LICARI

Original Issue Date

01/11/1999

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018