KRISTEL E BAUER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

INOPERATIVE

Business

First Name

KRISTEL

Middle

Last Name

BAUER

Business Name

KRISTEL E BAUER

Original Issue Date

11/15/2010

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

HIGHWOOD

State

Zip

60040

Ever Disciplined

LastModifiedDate

12/24/2019