RICHARD L OFFENBACK JR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

INOPERATIVE

Business

First Name

RICHARD

Middle

Last Name

OFFENBACK

Suffix

Business Name

RICHARD L OFFENBACK JR

Original Issue Date

02/22/2001

Effective Date

06/08/2016

Expiration Date

03/01/2018

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2018