RICHARD KENNETH KLEINSCHMIDT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004123

License Status

ACTIVE

Business

First Name

RICHARD

Middle

KENNETH

Last Name

KLEINSCHMIDT

Business Name

RICHARD KENNETH KLEINSCHMIDT

Original Issue Date

09/09/2011

Effective Date

02/06/2024

Expiration Date

03/01/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

12/03/2025