DEBORAH ANN ADCOCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000743

License Status

NOT RENEWED

Business

First Name

DEBORAH ANN

Last Name

ADCOCK

Business Name

DEBORAH ANN ADCOCK

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/1998

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006