KRISTINA HOLLY ELFE 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

KRISTINA

Middle

HOLLY

Last Name

ELFE

Business Name

KRISTINA HOLLY ELFE

Original Issue Date

09/09/2010

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020