COREY R RENTFROW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005122

License Status

NOT RENEWED

Business

First Name

COREY

Middle

Last Name

RENTFROW

Business Name

COREY R RENTFROW

Original Issue Date

07/31/2014

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

WEBSTER GROVES

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/10/2018