KRISTEN L HARMON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

HARMON

Business Name

KRISTEN L HARMON

Original Issue Date

03/09/2009

Effective Date

03/09/2009

Expiration Date

03/01/2010

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/13/2010