KRISTIN ELIZABETH NOLAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004654

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

ELIZABETH

Last Name

NOLAN

Business Name

KRISTIN ELIZABETH NOLAN

Original Issue Date

04/30/2013

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2018