ELIA L HOEKSTRA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

ELIA

Middle

Last Name

HOEKSTRA

Business Name

ELIA L HOEKSTRA

Original Issue Date

09/05/2006

Effective Date

01/05/2010

Expiration Date

03/01/2012

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

04/16/2012