RICHARD J KEIM JR Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000980

License Status

INACTIVE

Business

First Name

RICHARD

Middle

Last Name

KEIM

Suffix

Business Name

RICHARD J KEIM JR

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

03/01/2000

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

09/26/2006