KELLY ANNE DEVONSHIRE IZSAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE DEVONSHIRE

Last Name

IZSAK

Prefix

Business Name

KELLY ANNE DEVONSHIRE IZSAK

Original Issue Date

09/26/2007

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020