RITA M MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000654

License Status

NOT RENEWED

Business

First Name

RITA

Middle

Last Name

MARTIN

Business Name

RITA M MARTIN

Original Issue Date

12/20/1994

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

QUINCY

State

Zip

62305

Ever Disciplined

LastModifiedDate

07/27/2022