KRISTEN JEANETTE FITZPATRICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

JEANETTE

Last Name

FITZPATRICK

Business Name

KRISTEN JEANETTE FITZPATRICK

Original Issue Date

08/27/2013

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016