MAHGEN LYNN KRUSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003821

License Status

NOT RENEWED

Business

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

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/16/2013