KAITLIN CHRISTINE NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

KAITLIN

Middle

CHRISTINE

Last Name

NELSON

Business Name

KAITLIN CHRISTINE NELSON

Original Issue Date

08/12/2014

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018