KENNETH L DEGNER 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

KENNETH L

Last Name

DEGNER

Business Name

KENNETH L DEGNER

Original Issue Date

05/22/2007

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2022