KRISTEN MARIE BOYD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002664

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MARIE

Last Name

BOYD

Business Name

KRISTEN MARIE BOYD

Original Issue Date

11/17/2005

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/11/2012