JOSEPH JEROME KONYS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

JEROME

Last Name

KONYS

Business Name

JOSEPH JEROME KONYS

Original Issue Date

10/20/2004

Effective Date

10/20/2004

Expiration Date

03/01/2006

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006