KATHY LYNN WYNKOOP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003292

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

LYNN

Last Name

WYNKOOP

Business Name

KATHY LYNN WYNKOOP

Original Issue Date

08/22/2008

Effective Date

02/18/2010

Expiration Date

03/01/2012

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/24/2015