KIMBERLY LYNN ROSSIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

ROSSIN

Business Name

KIMBERLY LYNN ROSSIN

Original Issue Date

04/02/2013

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60654

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022