KIMBERLY LYNN FERENCE - Physician Assistant License in Illinois | # 085001381

KIMBERLY LYNN FERENCE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001381

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006