KALYN RACHEL HAFEMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001758

License Status

NOT RENEWED

Business

First Name

KALYN

Middle

RACHEL

Last Name

HAFEMANN

Business Name

KALYN RACHEL HAFEMANN

Original Issue Date

01/30/2002

Effective Date

02/09/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014