KIRSTIN MARIE LATIMER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

INOPERATIVE

Business

First Name

KIRSTIN

Middle

MARIE

Last Name

LATIMER

Business Name

KIRSTIN MARIE LATIMER

Original Issue Date

03/15/2021

Effective Date

02/01/2022

Expiration Date

03/01/2024

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023