RICHARD L OFFENBACK JR - Physician Assistant License in Illinois | # 085000765

RICHARD L OFFENBACK JR

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000765

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

L

Last Name

OFFENBACK

Suffix

JR

Business Name

RICHARD L OFFENBACK JR

Original Issue Date

02/07/1996

Effective Date

04/11/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018