KELLY YDE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

YDE

Business Name

KELLY YDE

Original Issue Date

08/02/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016