RICHARD DEAN HACKER - Physician Assistant License in Oklahoma | # 085003380

RICHARD DEAN HACKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003380

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

DEAN

Last Name

HACKER

Business Name

RICHARD DEAN HACKER

Original Issue Date

10/31/2008

Effective Date

02/24/2011

Expiration Date

03/01/2012

State

OK

Ever Disciplined

N

LastModifiedDate

04/11/2012