DANIELLE ELIZABETH KWONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

ELIZABETH

Last Name

KWONG

Business Name

DANIELLE ELIZABETH KWONG

Original Issue Date

01/28/2002

Effective Date

02/11/2016

Expiration Date

03/01/2018

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2018