KAITLIN CHRISTINE NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005117

License Status

NOT RENEWED

Business

First Name

KAITLIN

Middle

CHRISTINE

Last Name

NELSON

Business Name

KAITLIN CHRISTINE NELSON

Original Issue Date

07/30/2014

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018