KRYSTAL L COLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003957

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

COLE

Business Name

KRYSTAL L COLE

Original Issue Date

11/18/2010

Effective Date

11/18/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012