KAITLIN R WARD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

INOPERATIVE

Business

First Name

KAITLIN

Middle

Last Name

WARD

Business Name

KAITLIN R WARD

Original Issue Date

05/09/2014

Effective Date

05/09/2014

Expiration Date

03/01/2016

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015