KRISTINA M MCCUTCHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003105

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

MCCUTCHEN

Business Name

KRISTINA M MCCUTCHEN

Original Issue Date

10/15/2007

Effective Date

02/23/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012