Crystal Lea Kittisopikul

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085006306

Status

Expired (Not Renewed)

First issued

August 14, 2017

Expired

March 1, 2022

License holder

Crystal Lea Kittisopikul

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/27/2019

Other Illinois licenses under this name

• IL
  Crystal Lea Kittisopikul

  License 38*****45

  Physician Assistant Controlled Substance
  Expired

  Chicago, IL

  Expired Mar 1, 2020

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