KAREN DIANE HUMMEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

KAREN

Middle

DIANE

Last Name

HUMMEL

Business Name

KAREN DIANE HUMMEL

Original Issue Date

12/09/2004

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

CENTRALIA

State

Zip

62801

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025