RON LUTHER HAMM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

NOT RENEWED

Business

First Name

RON

Middle

LUTHER

Last Name

HAMM

Business Name

RON LUTHER HAMM

Original Issue Date

05/15/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/01/2009