KARIE MICHELLE HALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

KARIE

Middle

MICHELLE

Last Name

HALL

Business Name

KARIE MICHELLE HALL

Original Issue Date

12/22/2003

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

12/15/2014