KIMBERLY LYNN ROSSIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004444

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

ROSSIN

Business Name

KIMBERLY LYNN ROSSIN

Original Issue Date

09/12/2012

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022