STACEY R HARMINSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001452

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

HARMINSON

Business Name

STACEY R HARMINSON

Original Issue Date

11/06/2000

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

12/08/2025