BRENDA DARLENE RICHARDSON - Physician Assistant License in Illinois | # 085000604

BRENDA DARLENE RICHARDSON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000604

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2011