KATHLEEN J KEITHLEY - Physician Assistant License in Illinois | # 085002555

KATHLEEN J KEITHLEY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002555

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

J

Last Name

KEITHLEY

Business Name

KATHLEEN J KEITHLEY

Original Issue Date

09/02/2005

Effective Date

09/02/2005

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008