KRISTY LYNN JANSSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

LYNN

Last Name

JANSSEN

Business Name

KRISTY LYNN JANSSEN

Original Issue Date

01/31/2002

Effective Date

01/31/2002

Expiration Date

03/01/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006