KRISTEN MARIE BOYD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MARIE

Last Name

BOYD

Business Name

KRISTEN MARIE BOYD

Original Issue Date

02/01/2006

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

04/16/2012