SALLY CAMPBELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006526

License Status

NOT RENEWED

Business

First Name

SALLY

Last Name

CAMPBELL

Business Name

SALLY CAMPBELL

Original Issue Date

02/26/2018

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/24/2020