SCOTT ALAN SOUTHERLAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006027

License Status

ACTIVE

Business

First Name

SCOTT

Middle

ALAN

Last Name

SOUTHERLAND

Business Name

SCOTT ALAN SOUTHERLAND

Original Issue Date

10/03/2016

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

Ever Disciplined

LastModifiedDate

01/06/2026