KENNETH RICHARDS - Physician Assistant License in Illinois | # 085006861

KENNETH RICHARDS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006861

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020