RICHARD DEAN HACKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003380

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

DEAN

Last Name

HACKER

Business Name

RICHARD DEAN HACKER

Original Issue Date

10/31/2008

Effective Date

02/24/2011

Expiration Date

03/01/2012

City

HUGO

State

Zip

74743

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

04/11/2012