KELSEY L ROBITAILLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005865

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

ROBITAILLE

Business Name

KELSEY L ROBITAILLE

Original Issue Date

07/01/2016

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

ARLINGTON HEIGHTS

State

Zip

60005

Ever Disciplined

LastModifiedDate

11/24/2020