KRISTINE ELIZABETH BURGESS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003787

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

ELIZABETH

Last Name

BURGESS

Business Name

KRISTINE ELIZABETH BURGESS

Original Issue Date

07/08/2010

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

12/04/2025