KRISTINE M HEALY 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

KRISTINE

Middle

Last Name

HEALY

Business Name

KRISTINE M HEALY

Original Issue Date

08/31/2004

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018