KARI M BELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003696

License Status

NOT RENEWED

Business

First Name

KARI

Middle

Last Name

BELLIS

Business Name

KARI M BELLIS

Original Issue Date

02/11/2010

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022