VIRGINIA C BUDKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003947

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

Last Name

BUDKE

Business Name

VIRGINIA C BUDKE

Original Issue Date

11/03/2010

Effective Date

11/03/2010

Expiration Date

03/01/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/11/2012