MAHGEN LYNN KRUSE - Physician Assistant License in Illinois | # 085003821

MAHGEN LYNN KRUSE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003821

License Status

NOT RENEWED

Business

N

First Name

MAHGEN

Middle

LYNN

Last Name

KRUSE

Business Name

MAHGEN LYNN KRUSE

Original Issue Date

08/10/2010

Effective Date

08/10/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

09/16/2013