KELLY YDE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004616

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

YDE

Business Name

KELLY YDE

Original Issue Date

02/20/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016