KIMBERLY SHIRLEY HERRERA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

INOPERATIVE

Business

First Name

KIMBERLY

Middle

SHIRLEY

Last Name

HERRERA

Business Name

KIMBERLY SHIRLEY HERRERA

Original Issue Date

04/26/2017

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/03/2022