THOMAS G DRABEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

DRABEK

Business Name

THOMAS G DRABEK

Original Issue Date

03/20/2002

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020