THOMAS R LECHTENBERG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000051

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

LECHTENBERG

Business Name

THOMAS R LECHTENBERG

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/26/2006