KELLY S YOO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007803

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

YOO

Business Name

KELLY S YOO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

Ever Disciplined

LastModifiedDate

07/27/2022