KENNETH RICHARD ROHRBACH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

RICHARD

Last Name

ROHRBACH

Business Name

KENNETH RICHARD ROHRBACH

Original Issue Date

08/27/2013

Effective Date

01/16/2014

Expiration Date

03/01/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016