HEATHER JOELL HALL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004952

License Status

INACTIVE

Business

First Name

HEATHER

Middle

JOELL

Last Name

HALL

Business Name

HEATHER JOELL HALL

Original Issue Date

11/20/2013

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/21/2016