STEVEN K HUISMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002006

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

HUISMAN

Business Name

STEVEN K HUISMAN

Original Issue Date

04/28/2003

Effective Date

04/28/2003

Expiration Date

03/01/2006

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006