KYLE A CONROD Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004280

License Status

INACTIVE

Business

First Name

KYLE

Middle

Last Name

CONROD

Business Name

KYLE A CONROD

Original Issue Date

02/21/2012

Effective Date

02/21/2012

Expiration Date

03/01/2014

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

12/19/2013