CRYSTAL MARIE KULP Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005857

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

MARIE

Last Name

KULP

Business Name

CRYSTAL MARIE KULP

Original Issue Date

06/30/2016

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025