JAMES D PITTS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000501

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

PITTS

Business Name

JAMES D PITTS

Original Issue Date

07/03/1992

Effective Date

03/17/2014

Expiration Date

03/01/2016

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/08/2017

Case Number

2005006100

Action

Probation

Discipline Start Date

08/23/2006

Discipline End Date

04/13/2009