CRYSTAL GAIL PAULEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004170

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

GAIL

Last Name

PAULEY

Business Name

CRYSTAL GAIL PAULEY

Original Issue Date

09/29/2011

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

08/17/2017