KATHY LYNN RAYFORD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001781

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

LYNN

Last Name

RAYFORD

Business Name

KATHY LYNN RAYFORD

Original Issue Date

03/11/2002

Effective Date

05/09/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018