ANDREA KRISTIN KEELING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

KRISTIN

Last Name

KEELING

Business Name

ANDREA KRISTIN KEELING

Original Issue Date

09/05/2013

Effective Date

04/12/2016

Expiration Date

03/01/2018

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018