KRISANDRA LYNN BANET Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009429

License Status

NOT RENEWED

Business

First Name

KRISANDRA

Middle

LYNN

Last Name

BANET

Business Name

KRISANDRA LYNN BANET

Original Issue Date

12/01/2022

Effective Date

12/01/2022

Expiration Date

03/01/2024

City

URBANA

State

Zip

61801

Ever Disciplined

LastModifiedDate

02/05/2025