KAITLIN R WARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005023

License Status

NOT RENEWED

Business

First Name

KAITLIN

Middle

Last Name

WARD

Business Name

KAITLIN R WARD

Original Issue Date

03/27/2014

Effective Date

03/27/2014

Expiration Date

03/01/2016

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016