CHRISTOPHER JOHN DIFFERDING Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004245

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

JOHN

Last Name

DIFFERDING

Business Name

CHRISTOPHER JOHN DIFFERDING

Original Issue Date

11/08/2011

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/03/2026