LORI SCHULTZ MCLEOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

NOT RENEWED

Business

First Name

LORI

Middle

SCHULTZ

Last Name

MCLEOD

Business Name

LORI SCHULTZ MCLEOD

Original Issue Date

11/03/2010

Effective Date

06/05/2019

Expiration Date

03/01/2020

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020