ALLISON KELLY SKAE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

KELLY

Last Name

SKAE

Business Name

ALLISON KELLY SKAE

Original Issue Date

06/13/2006

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

04/16/2012