KARI A MENARD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

INOPERATIVE

Business

First Name

KARI

Middle

Last Name

MENARD

Business Name

KARI A MENARD

Original Issue Date

08/02/2006

Effective Date

01/11/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/30/2012