VIRGINIA C BUDKE 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

VIRGINIA

Middle

Last Name

BUDKE

Business Name

VIRGINIA C BUDKE

Original Issue Date

11/03/2010

Effective Date

11/03/2010

Expiration Date

03/01/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/16/2012