KIMBERLY ELAINE ROBERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ELAINE

Last Name

ROBERSON

Business Name

KIMBERLY ELAINE ROBERSON

Original Issue Date

01/17/2007

Effective Date

10/15/2008

Expiration Date

03/01/2010

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

12/22/2010