KATIE LYNN MCCRACKEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003685

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

LYNN

Last Name

MCCRACKEN

Business Name

KATIE LYNN MCCRACKEN

Original Issue Date

01/21/2010

Effective Date

01/21/2010

Expiration Date

03/01/2012

City

ANDOVER

State

Zip

67002

County

KANSAS

Ever Disciplined

LastModifiedDate

04/11/2012