WILLIAM R HOLLBROOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000146

License Status

NOT RENEWED

Business

First Name

WILLIAM R

Last Name

HOLLBROOK

Business Name

WILLIAM R HOLLBROOK

Original Issue Date

04/14/1981

Effective Date

04/14/1981

Expiration Date

04/14/1983

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

09/26/2006