ROBERT V BURKHART Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

INOPERATIVE

Business

First Name

ROBERT

Middle

Last Name

BURKHART

Business Name

ROBERT V BURKHART

Original Issue Date

01/14/2002

Effective Date

04/10/2018

Expiration Date

03/01/2020

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

12/18/2019