RICHARD T TENCZAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000665

License Status

NOT RENEWED

Business

First Name

RICHARD T

Last Name

TENCZAR

Business Name

RICHARD T TENCZAR

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

03/01/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/26/2006