KELSEY A DIAMOND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005384

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

DIAMOND

Business Name

KELSEY A DIAMOND

Original Issue Date

01/20/2015

Effective Date

01/20/2015

Expiration Date

03/01/2016

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016