KENNETH ROBERT LAMB Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004352

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ROBERT

Last Name

LAMB

Business Name

KENNETH ROBERT LAMB

Original Issue Date

07/16/2012

Effective Date

03/05/2014

Expiration Date

03/01/2016

City

LE CLAIRE

State

Zip

52753

County

IOWA

Ever Disciplined

LastModifiedDate

04/25/2016