KRISTIE LEE SHIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003538

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

LEE

Last Name

SHIN

Business Name

KRISTIE LEE SHIN

Original Issue Date

08/12/2009

Effective Date

02/26/2022

Expiration Date

03/01/2024

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/05/2025