KIRSTEN MARIE SCHNEIDER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001495

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

MARIE

Last Name

SCHNEIDER

Business Name

KIRSTEN MARIE SCHNEIDER

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/01/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/23/2008