KATIE LYNN MCCRACKEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

LYNN

Last Name

MCCRACKEN

Business Name

KATIE LYNN MCCRACKEN

Original Issue Date

03/04/2010

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

04/11/2012