ALBERTA L HANDWERK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002468

License Status

INACTIVE

Business

First Name

ALBERTA

Middle

Last Name

HANDWERK

Business Name

ALBERTA L HANDWERK

Original Issue Date

03/28/2005

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/02/2016