KELLY RENA KALCEVICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001615

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

RENA

Last Name

KALCEVICH

Business Name

KELLY RENA KALCEVICH

Original Issue Date

07/27/2001

Effective Date

07/27/2001

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006