JUSTIN R ALLPHIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005215

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

ALLPHIN

Business Name

JUSTIN R ALLPHIN

Original Issue Date

09/11/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2018