KELLY ELIZABETH STOLL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003719

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

STOLL

Business Name

KELLY ELIZABETH STOLL

Original Issue Date

03/31/2010

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

07/27/2022