KRISTEN JEANETTE FITZPATRICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004612

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

JEANETTE

Last Name

FITZPATRICK

Business Name

KRISTEN JEANETTE FITZPATRICK

Original Issue Date

02/06/2013

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016