DAVID WAYNE UHRICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WAYNE

Last Name

UHRICH

Business Name

DAVID WAYNE UHRICH

Original Issue Date

08/29/2006

Effective Date

08/29/2006

Expiration Date

03/01/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/10/2008