DEBORAH A HENRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

HENRY

Business Name

DEBORAH A HENRY

Original Issue Date

08/14/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/18/2010