KRISTA RAE MOHAMED

Physician Assistant Controlled Substance

Illinois  385002614   Not Renewed

This Illinois license was held by KRISTA RAE MOHAMED. The license is no longer active. It was granted on 09/03/2010 and expired on 03/01/2014

LICENSE DETAILS

  • License Number: 385002614
  • Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 09/03/2010 (almost 15 years ago)
  • Expiry Date: 03/01/2014 (over 11 years ago)

LOCATIONS

A Address

Rockford, IL 61107