KHRISTIN MARIE DEGLI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

INOPERATIVE

Business

First Name

KHRISTIN

Middle

MARIE

Last Name

DEGLI

Business Name

KHRISTIN MARIE DEGLI

Original Issue Date

03/24/2011

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2015