EVAN F HENSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

INOPERATIVE

Business

First Name

EVAN

Middle

Last Name

HENSON

Business Name

EVAN F HENSON

Original Issue Date

11/02/2011

Effective Date

02/20/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/13/2015