BIANCA C BOTTIAUX Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

BIANCA

Middle

Last Name

BOTTIAUX

Business Name

BIANCA C BOTTIAUX

Original Issue Date

03/09/2001

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

DU QUOIN

State

Zip

62832

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026