REBECCA J HENKEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000324

License Status

NOT RENEWED

Business

First Name

REBECCA J

Last Name

HENKEN

Business Name

REBECCA J HENKEN

Original Issue Date

03/18/1987

Effective Date

03/18/1987

Expiration Date

03/01/1996

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/26/2006