KERRY M DANIELS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003402

License Status

NOT RENEWED

Business

First Name

KERRY

Middle

Last Name

DANIELS

Business Name

KERRY M DANIELS

Original Issue Date

01/05/2009

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/25/2016