ALI KING CLAYTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004409

License Status

NOT RENEWED

Business

First Name

ALI

Middle

KING

Last Name

CLAYTON

Business Name

ALI KING CLAYTON

Original Issue Date

08/20/2012

Effective Date

02/04/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2018