MONICA DIANE PRICHARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007208

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

DIANE

Last Name

PRICHARD

Business Name

MONICA DIANE PRICHARD

Original Issue Date

08/16/2019

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022