KENNETH D ADAMS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

ADAMS

Business Name

KENNETH D ADAMS

Original Issue Date

01/08/2001

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

12/09/2009