KENNETH L DEGNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000019

License Status

NOT RENEWED

Business

First Name

KENNETH L

Last Name

DEGNER

Business Name

KENNETH L DEGNER

Original Issue Date

11/05/1980

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

JOHNSBURG

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/27/2022