COLLEEN B KEMP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004832

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

KEMP

Business Name

COLLEEN B KEMP

Original Issue Date

09/19/2013

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2018