KIRSTIN NALL WHITE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002050

License Status

NOT RENEWED

Business

First Name

KIRSTIN

Middle

NALL

Last Name

WHITE

Business Name

KIRSTIN NALL WHITE

Original Issue Date

08/11/2003

Effective Date

12/21/2009

Expiration Date

03/01/2012

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

12/02/2015