CARRIE ELIZABETH KRAEGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ELIZABETH

Last Name

KRAEGER

Business Name

CARRIE ELIZABETH KRAEGER

Original Issue Date

11/13/2012

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/02/2018