CALLY DAWN ESPEGARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005664

License Status

NOT RENEWED

Business

First Name

CALLY

Middle

DAWN

Last Name

ESPEGARD

Business Name

CALLY DAWN ESPEGARD

Original Issue Date

09/23/2015

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022