CHRISTINA JENNIFER KALBAC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

JENNIFER

Last Name

KALBAC

Business Name

CHRISTINA JENNIFER KALBAC

Original Issue Date

10/02/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/01/2010