MARTI K PARKINSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

MARTI

Middle

Last Name

PARKINSON

Business Name

MARTI K PARKINSON

Original Issue Date

12/12/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

06/29/2009