KELLY ELIZABETH KRAWCZYK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

INOPERATIVE

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

KRAWCZYK

Business Name

KELLY ELIZABETH KRAWCZYK

Original Issue Date

11/26/2003

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2014