KELSEY FAYE ANGELL MCEWEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003576

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

FAYE ANGELL

Last Name

MCEWEN

Business Name

KELSEY FAYE ANGELL MCEWEN

Original Issue Date

09/14/2009

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014