ERIK JARL OKSNEVAD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

INOPERATIVE

Business

First Name

ERIK

Middle

JARL

Last Name

OKSNEVAD

Business Name

ERIK JARL OKSNEVAD

Original Issue Date

03/26/2001

Effective Date

01/02/2020

Expiration Date

03/01/2022

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

01/03/2022