KELLY JEAN GIRA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003039

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

GIRA

Business Name

KELLY JEAN GIRA

Original Issue Date

09/12/2007

Effective Date

12/22/2011

Expiration Date

03/01/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/08/2014