KYLE A CONROD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

INOPERATIVE

Business

First Name

KYLE

Middle

Last Name

CONROD

Business Name

KYLE A CONROD

Original Issue Date

03/14/2012

Effective Date

03/14/2012

Expiration Date

03/01/2014

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/07/2013