KENNETH D ADAMS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000291

License Status

INACTIVE

Business

First Name

KENNETH

Middle

Last Name

ADAMS

Business Name

KENNETH D ADAMS

Original Issue Date

05/24/1985

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

08/03/2018