MICHAEL PATRICK HIGGINS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004623

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

HIGGINS

Business Name

MICHAEL PATRICK HIGGINS

Original Issue Date

02/21/2013

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016