BRENT RAY HUFFINES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

INOPERATIVE

Business

First Name

BRENT

Middle

RAY

Last Name

HUFFINES

Business Name

BRENT RAY HUFFINES

Original Issue Date

10/03/2008

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2018