KELLY ELIZABETH KRAWCZYK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002041

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

KRAWCZYK

Business Name

KELLY ELIZABETH KRAWCZYK

Original Issue Date

08/05/2003

Effective Date

03/03/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016