KELLY MACKENZIE ARDITI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003181

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MACKENZIE

Last Name

ARDITI

Business Name

KELLY MACKENZIE ARDITI

Original Issue Date

01/25/2008

Effective Date

01/25/2008

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010