ROBERT V BURKHART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001213

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BURKHART

Business Name

ROBERT V BURKHART

Original Issue Date

04/08/1999

Effective Date

04/04/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/24/2020