LOUIS E WARNKEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

Last Name

WARNKEN

Business Name

LOUIS E WARNKEN

Original Issue Date

04/08/2002

Effective Date

04/08/2002

Expiration Date

03/01/2004

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006