ROBERT B HERZOG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

HERZOG

Business Name

ROBERT B HERZOG

Original Issue Date

10/14/2003

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

POMONA

State

Zip

62975

County

JACKSON

Ever Disciplined

LastModifiedDate

01/08/2026