KIMBERLY NICOLE KOLDENHOVEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002977

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

NICOLE

Last Name

KOLDENHOVEN

Business Name

KIMBERLY NICOLE KOLDENHOVEN

Original Issue Date

06/26/2007

Effective Date

03/06/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2015