RICKY A POWELL - Physician Assistant License in Illinois | # 085000703

RICKY A POWELL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000703

License Status

NOT RENEWED

Business

N

First Name

RICKY

Middle

A

Last Name

POWELL

Business Name

RICKY A POWELL

Original Issue Date

09/20/1995

Effective Date

02/06/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014