KELLY MINIHANE - Physician Assistant License in Illinois | # 085003885

KELLY MINIHANE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003885

License Status

NOT RENEWED

Business

N

First Name

KELLY

Last Name

MINIHANE

Business Name

KELLY MINIHANE

Original Issue Date

09/21/2010

Effective Date

02/27/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014