ELIZABETH HARRISON CONYERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

HARRISON

Last Name

CONYERS

Business Name

ELIZABETH HARRISON CONYERS

Original Issue Date

01/28/2015

Effective Date

03/13/2018

Expiration Date

03/01/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020