RYAN FERREL MANSHOLT - Physician Assistant License in Illinois | # 085002874

RYAN FERREL MANSHOLT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002874

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

FERREL

Last Name

MANSHOLT

Business Name

RYAN FERREL MANSHOLT

Original Issue Date

10/31/2006

Effective Date

01/25/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

08/08/2016