LOUIS E WARNKEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001246

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

Last Name

WARNKEN

Business Name

LOUIS E WARNKEN

Original Issue Date

10/21/1999

Effective Date

10/21/1999

Expiration Date

03/01/2004

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006