PETER M MUCHENDU Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

INOPERATIVE

Business

First Name

PETER

Middle

Last Name

MUCHENDU

Business Name

PETER M MUCHENDU

Original Issue Date

09/19/2013

Effective Date

02/11/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014