KRYSTAL L COLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

COLE

Business Name

KRYSTAL L COLE

Original Issue Date

11/18/2010

Effective Date

11/18/2010

Expiration Date

03/01/2012

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/16/2012