KIRSTIN MARIE LATIMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007901

License Status

NOT RENEWED

Business

First Name

KIRSTIN

Middle

MARIE

Last Name

LATIMER

Business Name

KIRSTIN MARIE LATIMER

Original Issue Date

08/29/2020

Effective Date

02/01/2022

Expiration Date

03/01/2024

City

GILBERTS

State

Zip

60136

County

KANE

Ever Disciplined

LastModifiedDate

02/05/2025