IRENE KAJIYA NAGEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

KAJIYA

Last Name

NAGEL

Business Name

IRENE KAJIYA NAGEL

Original Issue Date

02/03/2010

Effective Date

02/03/2010

Expiration Date

03/01/2012

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012