K G ARSENEAU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000004

License Status

NOT RENEWED

Business

First Name

K G

Last Name

ARSENEAU

Business Name

K G ARSENEAU

Original Issue Date

11/15/1980

Effective Date

11/15/1980

Expiration Date

11/15/1984

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/26/2006