KARILYN S CROOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003571

License Status

NOT RENEWED

Business

First Name

KARILYN

Middle

Last Name

CROOK

Business Name

KARILYN S CROOK

Original Issue Date

09/10/2009

Effective Date

02/22/2020

Expiration Date

03/01/2022

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/27/2022