TERRI L KOLKER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000485

License Status

INACTIVE

Business

First Name

TERRI L

Last Name

KOLKER

Business Name

TERRI L KOLKER

Original Issue Date

02/06/1992

Effective Date

02/06/1992

Expiration Date

03/01/1994

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/26/2017