STACY CATHERINE HENRY - Physician Assistant License in Iowa | # 38*****78

STACY CATHERINE HENRY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

CATHERINE

Last Name

HENRY

Business Name

STACY CATHERINE HENRY

Original Issue Date

12/19/2022

Effective Date

12/19/2022

Expiration Date

03/01/2024

State

IA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/05/2025