AMY MARIE POPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003846

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

POPE

Business Name

AMY MARIE POPE

Original Issue Date

09/07/2010

Effective Date

01/28/2016

Expiration Date

03/01/2018

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2018