KARYN VIRGINIA GUIDO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

KARYN

Middle

VIRGINIA

Last Name

GUIDO

Business Name

KARYN VIRGINIA GUIDO

Original Issue Date

01/20/2012

Effective Date

01/20/2012

Expiration Date

03/01/2014

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

04/08/2014