KALEY INGENITO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

KALEY

Last Name

INGENITO

Business Name

KALEY INGENITO

Original Issue Date

03/14/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

12/18/2019