KELLY ANN RHODUS PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000948

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

RHODUS

Suffix

PA-C

Business Name

KELLY ANN RHODUS PA-C

Original Issue Date

11/12/1997

Effective Date

11/12/1997

Expiration Date

03/01/2004

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006