RICHARD J KEIM JR - Physician Assistant License in Illinois | # 085000980

RICHARD J KEIM JR

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000980

License Status

INACTIVE

Business

N

First Name

RICHARD

Middle

J

Last Name

KEIM

Suffix

JR

Business Name

RICHARD J KEIM JR

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

03/01/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006