KARIE MICHELLE HALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002095

License Status

NOT RENEWED

Business

First Name

KARIE

Middle

MICHELLE

Last Name

HALL

Business Name

KARIE MICHELLE HALL

Original Issue Date

09/26/2003

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/15/2014