KELLI K NOWAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004934

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

NOWAK

Business Name

KELLI K NOWAK

Original Issue Date

10/29/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

04/25/2016