Crystal Lea Kittisopikul
ExpiredIllinois license 38*****45
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****45
- Status
- Expired (Not Renewed)
- First issued
- April 10, 2018
- Expired
- March 1, 2020
- License holder
- Crystal Lea Kittisopikul
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 04/10/2018
Other Illinois licenses under this name
-
IL
ExpiredChicago, ILExpired Mar 1, 2022
Contact
Chicago, IL 60610
Cook County