ALI KING CLAYTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

ALI

Middle

KING

Last Name

CLAYTON

Business Name

ALI KING CLAYTON

Original Issue Date

08/20/2012

Effective Date

02/04/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2018