DARCY J ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001994

License Status

NOT RENEWED

Business

First Name

DARCY

Middle

Last Name

ANDERSON

Business Name

DARCY J ANDERSON

Original Issue Date

03/07/2003

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/27/2022