IGOR PODEBRYL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002764

License Status

NOT RENEWED

Business

First Name

IGOR

Last Name

PODEBRYL

Business Name

IGOR PODEBRYL

Original Issue Date

08/07/2006

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

08/15/2014