PHILIP E PENNINGTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000157

License Status

NOT RENEWED

Business

First Name

PHILIP E

Last Name

PENNINGTON

Business Name

PHILIP E PENNINGTON

Original Issue Date

04/14/1981

Effective Date

04/14/1981

Expiration Date

04/14/1983

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

09/26/2006