CRYSTAL GAIL PAULEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

GAIL

Last Name

PAULEY

Business Name

CRYSTAL GAIL PAULEY

Original Issue Date

12/15/2011

Effective Date

12/15/2011

Expiration Date

03/01/2014

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

08/14/2017