KALLI LYNN PARRA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008842

License Status

NOT RENEWED

Business

First Name

KALLI

Middle

LYNN

Last Name

PARRA

Business Name

KALLI LYNN PARRA

Original Issue Date

01/28/2022

Effective Date

01/28/2022

Expiration Date

03/01/2024

City

OCONOMOWOC

State

Zip

53066

Ever Disciplined

LastModifiedDate

02/05/2025