KELSI RYAN WALTERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003869

License Status

NOT RENEWED

Business

First Name

KELSI

Middle

RYAN

Last Name

WALTERS

Business Name

KELSI RYAN WALTERS

Original Issue Date

09/16/2010

Effective Date

03/06/2012

Expiration Date

03/01/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/28/2015