KIMBERLY LYNN FERENCE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001381

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

FERENCE

Business Name

KIMBERLY LYNN FERENCE

Original Issue Date

05/12/2000

Effective Date

05/12/2000

Expiration Date

03/01/2002

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006