WILLIAM DAVID KENDRICK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000686

License Status

INACTIVE

Business

First Name

WILLIAM DAVID

Last Name

KENDRICK

Business Name

WILLIAM DAVID KENDRICK

Original Issue Date

04/28/1995

Effective Date

04/28/1995

Expiration Date

03/01/2004

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/09/2006