LARRY W HIGGINS Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000036

License Status

CANCELLED

Business

First Name

LARRY W

Last Name

HIGGINS

Business Name

LARRY W HIGGINS

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

03/01/1990

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/26/2006