KRISTEN ELIZABETH POLK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008204

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

ELIZABETH

Last Name

POLK

Business Name

KRISTEN ELIZABETH POLK

Original Issue Date

02/10/2021

Effective Date

01/10/2022

Expiration Date

03/01/2024

City

ALLISON PARK

State

Zip

15101

Ever Disciplined

LastModifiedDate

02/05/2025