KRISTINE S ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003420

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

ANDERSON

Business Name

KRISTINE S ANDERSON

Original Issue Date

01/30/2009

Effective Date

03/24/2020

Expiration Date

03/01/2022

City

MADISON

State

Zip

53717

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022