ROBYN HOFFMANN DETTMAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001894

License Status

NOT RENEWED

Business

First Name

ROBYN

Middle

HOFFMANN

Last Name

DETTMAR

Business Name

ROBYN HOFFMANN DETTMAR

Original Issue Date

10/04/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

09/23/2010