DAWN R KORF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

KORF

Business Name

DAWN R KORF

Original Issue Date

06/11/2014

Effective Date

03/18/2016

Expiration Date

03/01/2018

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2018