RACHEL MORGAN BULLOCK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011117

License Status

ACTIVE

Business

First Name

RACHEL

Middle

MORGAN

Last Name

BULLOCK

Business Name

RACHEL MORGAN BULLOCK

Original Issue Date

02/13/2025

Effective Date

02/13/2025

Expiration Date

03/01/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/03/2025