KIRK MATTHEW MELTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001526

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

MATTHEW

Last Name

MELTON

Business Name

KIRK MATTHEW MELTON

Original Issue Date

12/12/2000

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

04/08/2014