KELLY M JOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003584

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

JOY

Business Name

KELLY M JOY

Original Issue Date

09/16/2009

Effective Date

01/05/2010

Expiration Date

03/01/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/11/2012