KRISTY LYNN JANSSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001692

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

LYNN

Last Name

JANSSEN

Business Name

KRISTY LYNN JANSSEN

Original Issue Date

11/07/2001

Effective Date

11/07/2001

Expiration Date

03/01/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006