DAVID K RATH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000478

License Status

NOT RENEWED

Business

First Name

DAVID K

Last Name

RATH

Business Name

DAVID K RATH

Original Issue Date

01/07/1992

Effective Date

01/07/1992

Expiration Date

03/01/1994

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006