EVAN TOBIAS MARKELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

TOBIAS

Last Name

MARKELL

Business Name

EVAN TOBIAS MARKELL

Original Issue Date

04/06/2021

Effective Date

04/06/2021

Expiration Date

03/01/2022

City

PALM BEACH GARDENS

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022