KALEY INGENITO - Physician Assistant License in Illinois | # 085004938

KALEY INGENITO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004938

License Status

NOT RENEWED

Business

N

First Name

KALEY

Last Name

INGENITO

Business Name

KALEY INGENITO

Original Issue Date

10/30/2013

Effective Date

02/22/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020