RICHARD L OFFENBACK JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000765

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

OFFENBACK

Suffix

Business Name

RICHARD L OFFENBACK JR

Original Issue Date

02/07/1996

Effective Date

04/11/2016

Expiration Date

03/01/2018

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

05/10/2018