ADAM R HALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003974

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

HALL

Business Name

ADAM R HALL

Original Issue Date

12/28/2010

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/08/2014