KALYN MARIE HARKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006360

License Status

NOT RENEWED

Business

First Name

KALYN

Middle

MARIE

Last Name

HARKER

Business Name

KALYN MARIE HARKER

Original Issue Date

09/22/2017

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022