DAVID A OAKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000626

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

OAKS

Business Name

DAVID A OAKS

Original Issue Date

09/17/1994

Effective Date

09/17/1994

Expiration Date

03/01/1996

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006