TIMOTHY J MENARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000584

License Status

NOT RENEWED

Business

First Name

TIMOTHY J

Last Name

MENARD

Business Name

TIMOTHY J MENARD

Original Issue Date

02/01/1994

Effective Date

04/26/2016

Expiration Date

03/01/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/10/2018