TODD ALAN OSTERBUR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

TODD

Middle

ALAN

Last Name

OSTERBUR

Business Name

TODD ALAN OSTERBUR

Original Issue Date

09/03/2004

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/16/2012