BRENDA J JUSTICE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000619

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

JUSTICE

Business Name

BRENDA J JUSTICE

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

03/01/1996

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/26/2006