Kristen D Ballenthin

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****31

Status

Expired (Not Renewed)

First issued

December 7, 2007

Expired

March 1, 2012

License holder

Kristen D Ballenthin

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Current term began

01/28/2010

Other Illinois licenses under this name

• IL
  Kristen D Ballenthin

  License 085003109

  Licensed Physician Assistant
  Inactive

  Little Canada, MN

  Expired Mar 1, 2012

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