KRISTEN CHUBA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010108

License Status

NOT RENEWED

Business

First Name

KRISTEN

Last Name

CHUBA

Business Name

KRISTEN CHUBA

Original Issue Date

10/04/2023

Effective Date

10/04/2023

Expiration Date

03/01/2024

City

NEW BRIGHTON

State

Zip

55112

Ever Disciplined

LastModifiedDate

02/05/2025