EVAN F HENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004241

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

Last Name

HENSON

Business Name

EVAN F HENSON

Original Issue Date

11/02/2011

Effective Date

02/20/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016