KENNETH RICHARDS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006861

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

RICHARDS

Business Name

KENNETH RICHARDS

Original Issue Date

12/04/2018

Effective Date

12/04/2018

Expiration Date

03/01/2020

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

11/24/2020