ALAN WILLIAM MCMULLIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003330

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

WILLIAM

Last Name

MCMULLIN

Business Name

ALAN WILLIAM MCMULLIN

Original Issue Date

09/24/2008

Effective Date

02/26/2020

Expiration Date

03/01/2022

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

07/27/2022