KALEY INGENITO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004938

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020