JOHN O'NEIL GROOMS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000802

License Status

NOT RENEWED

Business

First Name

JOHN O'NEIL

Last Name

GROOMS

Business Name

JOHN O'NEIL GROOMS

Original Issue Date

05/13/1996

Effective Date

05/13/1996

Expiration Date

03/01/1998

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006