COLENA M RATHBURN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007452

License Status

NOT RENEWED

Business

First Name

COLENA

Middle

Last Name

RATHBURN

Business Name

COLENA M RATHBURN

Original Issue Date

11/22/2019

Effective Date

01/10/2022

Expiration Date

03/01/2024

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

02/05/2025