KOREN KIMBERLEY SCHRAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007030

License Status

NOT RENEWED

Business

First Name

KOREN

Middle

KIMBERLEY

Last Name

SCHRAM

Business Name

KOREN KIMBERLEY SCHRAM

Original Issue Date

04/08/2019

Effective Date

04/08/2019

Expiration Date

03/01/2020

City

ELLISVILLE

State

Zip

63011

Ever Disciplined

LastModifiedDate

11/24/2020