KELLY LIZBETH PICKERING Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

INOPERATIVE

Business

First Name

KELLY

Middle

LIZBETH

Last Name

PICKERING

Business Name

KELLY LIZBETH PICKERING

Original Issue Date

02/06/2019

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023