CHELSEA JO LILES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

CHELSEA

Middle

Last Name

LILES

Business Name

CHELSEA JO LILES

Original Issue Date

10/13/2017

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

BETTENDORF

State

Zip

52722

County

SCOTT

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020