KRISTIE KATHLEEN BONNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002772

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

KATHLEEN

Last Name

BONNER

Business Name

KRISTIE KATHLEEN BONNER

Original Issue Date

08/10/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2010