KRISTA PATRICIA CRAWFORD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003185

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

PATRICIA

Last Name

CRAWFORD

Business Name

KRISTA PATRICIA CRAWFORD

Original Issue Date

02/05/2008

Effective Date

02/05/2008

Expiration Date

03/01/2010

City

DEERFIELD

State

Zip

53531

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/06/2020