PHILLIP RAY ERTHALL JR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002616

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

RAY

Last Name

ERTHALL

Suffix

Business Name

PHILLIP RAY ERTHALL JR

Original Issue Date

10/06/2005

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

HERRIN

State

Zip

62948

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/17/2026