KIMBERLY JO BARRETT 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

KIMBERLY

Middle

Last Name

BARRETT

Business Name

KIMBERLY JO BARRETT

Original Issue Date

12/18/2007

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60609

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020