FRANK KOLOVRAT JR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

FRANK

Last Name

KOLOVRAT

Suffix

Business Name

FRANK KOLOVRAT JR

Original Issue Date

02/26/2019

Effective Date

01/23/2020

Expiration Date

03/01/2022

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

01/03/2022