IRENE KRYSTYNA DYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002716

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

KRYSTYNA

Last Name

DYER

Business Name

IRENE KRYSTYNA DYER

Original Issue Date

05/16/2006

Effective Date

03/03/2020

Expiration Date

03/01/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022