ROBERT THEODORE PAQUIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

INOPERATIVE

Business

First Name

ROBERT

Middle

THEODORE

Last Name

PAQUIN

Business Name

ROBERT THEODORE PAQUIN

Original Issue Date

01/12/2009

Effective Date

02/20/2014

Expiration Date

03/01/2016

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/21/2016