KENNETH ROBERT LAMB Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

ROBERT

Last Name

LAMB

Business Name

KENNETH ROBERT LAMB

Original Issue Date

08/31/2012

Effective Date

01/15/2015

Expiration Date

03/01/2016

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

04/25/2016