KHRISTIN MARIE DEGLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004002

License Status

NOT RENEWED

Business

First Name

KHRISTIN

Middle

MARIE

Last Name

DEGLI

Business Name

KHRISTIN MARIE DEGLI

Original Issue Date

03/02/2011

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016