STEVEN K HUISMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

HUISMAN

Business Name

STEVEN K HUISMAN

Original Issue Date

08/12/2004

Effective Date

08/12/2004

Expiration Date

03/01/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006