REX E STOMBAUGH - Physician Assistant License in Illinois | # 085001351

REX E STOMBAUGH

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001351

License Status

INACTIVE

Business

N

First Name

REX

Middle

E

Last Name

STOMBAUGH

Business Name

REX E STOMBAUGH

Original Issue Date

02/08/2000

Effective Date

01/04/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

12/19/2013