BRENDA DARLENE RICHARDSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000604

License Status

INACTIVE

Business

First Name

BRENDA DARLENE

Last Name

RICHARDSON

Business Name

BRENDA DARLENE RICHARDSON

Original Issue Date

03/26/1994

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/07/2011