KELLY JEAN GIRA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

GIRA

Business Name

KELLY JEAN GIRA

Original Issue Date

11/29/2007

Effective Date

12/22/2011

Expiration Date

03/01/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/08/2014