KRISTEL E BAUER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002726

License Status

NOT RENEWED

Business

First Name

KRISTEL

Middle

Last Name

BAUER

Business Name

KRISTEL E BAUER

Original Issue Date

07/10/2006

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022