KERRY M DANIELS 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

KERRY

Middle

Last Name

DANIELS

Business Name

KERRY M DANIELS

Original Issue Date

03/19/2009

Effective Date

01/27/2014

Expiration Date

03/01/2016

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/13/2015