KELLY ANNE DEVONSHIRE IZSAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002958

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE DEVONSHIRE

Last Name

IZSAK

Prefix

Business Name

KELLY ANNE DEVONSHIRE IZSAK

Original Issue Date

04/05/2007

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/24/2020