KRYSTSINA DZMITRUKOVA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005817

License Status

NOT RENEWED

Business

First Name

KRYSTSINA

Last Name

DZMITRUKOVA

Business Name

KRYSTSINA DZMITRUKOVA

Original Issue Date

04/25/2016

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020