KATHRYN COOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007605

License Status

NOT RENEWED

Business

First Name

KATHRYN

Last Name

COOK

Business Name

KATHRYN COOK

Original Issue Date

03/18/2020

Effective Date

03/18/2020

Expiration Date

03/01/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022